Sean Angela Williams Meltzer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8117 Issued in NC

Practice address

322 Main St
Prospect Hill, NC 27314-9438

Phone

(336) 562-3311

NPI assigned

May 17, 2007

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hushang Ghodrat DDS, PA

  • General Practice Dentistry
  • Creedmoor, NC
  • NPI 1659582187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1699982983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CHESLEY LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141460",
            "telephone_number": "919-323-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "PROSPECT HILL",
            "state": "NC",
            "postal_code": "273149438",
            "telephone_number": "336-562-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2552 capitol dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "creedmoor",
            "state": "NC",
            "postal_code": "275229451",
            "country_code": "US",
            "telephone_number": "919-528-9500",
            "fax_number": "919-528-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "SEAN",
        "middle_name": "ANGELA WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Fazzolare, PA-C
• Joan Floyd, RPH
• Homes That Care, Inc.
• Audrey Kemp
• Katrina Chaundani Mattison, D.D.S.
• Piedmont Health Services, Inc. (Prospect Hill Community Health Center)
• Piedmont Health Services, Inc. (Prospect Hill CHC Dental)
• Piedmont Health Services, Inc. (Prospect Hill CHC Pharmacy)
• Evelyn Ponce Quintero, LCSW-A
• Caleb Amos Smith

• General Practice Dentistry in Prospect Hill, NC
• Providers in Prospect Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.