Individual provider Active NPI

Brian David Meckler, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1720224876
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6591 Issued in NC
Practice address
1009 Spring Forest Rd
Raleigh, NC 27615-5833
Phone
(919) 878-0055
NPI assigned
Dec 19, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6591 NC Primary

Addresses

Primary practice location

1009 Spring Forest Rd
Raleigh, NC 27615-5833

Mailing address

928 Hidden Jewel LN
Wake Forest, NC 27587-4225
Phone (919) 761-1573

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

State licenses

LicenseStateTypeSpecialty
6591NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Dental Past Accepting new patients
Arend Klooster DDS, PLLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1720224876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 HIDDEN JEWEL LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874225",
            "telephone_number": "919-761-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155833",
            "telephone_number": "919-878-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLER",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.