NPIMap

Organization Active NPI

Martin a. Megregian D.D.S. & Associates

  • General Practice Dentistry
  • Merritt Island, FL
National Provider Identifier
1700908548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7462 Issued in FL
Legal business name
MARTIN A. MEGREGIAN D.D.S. & ASSOCIATES
Practice address
4245 N Courtenay Pkwy
Merritt Island, FL 32953-8131
Phone
(321) 453-0300
Fax
(321) 453-8713
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy Jones
Title
Business Office Manager
Phone
(321) 453-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7462 FL Primary

Addresses

Primary practice location

4245 N Courtenay Pkwy
Merritt Island, FL 32953-8131

Mailing address

4245 N Courtenay Pkwy
Merritt Island, FL 32953-8131
Phone (321) 453-0300

National Provider Directory

National Provider Directory

Locations

4245 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 360-7469

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700908548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538131",
            "telephone_number": "321-453-0300",
            "fax_number": "321-453-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538131",
            "telephone_number": "321-453-0300",
            "fax_number": "321-453-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN A. MEGREGIAN D.D.S. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "321-453-0300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.