Active NPI
Meshan Foutz, RDH
- Dental Hygienist
- Farmington, NM
National Provider Identifier
1699491696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 1001 W Broadway
Farmington, NM 87401-5638 - Phone
- (505) 327-4796
- NPI assigned
- Oct 12, 2022
- Last updated
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
1001 W Broadway
Farmington, NM 87401-5638
Mailing address
3120 Ranch CT
Farmington, NM 87401-2577
Phone (505) 309-8972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107261061 | Other | DRIVERS LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | pmsnm.org | ||
| Other URL | pmsnm.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1699491696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 RANCH CT",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012577",
"telephone_number": "505-309-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BROADWAY",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-327-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUTZ",
"first_name": "MESHAN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "107261061",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "pmsnm.org",
"affiliation": "N",
"address_1": "1001 W Broadway",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874015638",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "pmsnm.org",
"affiliation": "N",
"address_1": "1001 W Broadway",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874015638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.