Craig L. Meadows, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2742 Issued in WV

Practice address

111 Tavern Rd
Martinsburg, WV 25401-2841

Phone

(304) 267-3928

Fax

(304) 267-4618

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 12, 2012 through Oct 12, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Craig L. Meadows, DDS, PLLC

  • Periodontics
  • Martinsburg, WV
  • NPI 1811041171
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1740339027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012841",
            "telephone_number": "304-267-3928",
            "fax_number": "304-267-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012841",
            "telephone_number": "304-267-3928",
            "fax_number": "304-267-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "CRAIG",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WV",
            "license": "2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry McNamara
• Cassie Ann McNamee
• Amanda Marie McReynolds
• Cathy McWilliams, RPH
• Erin R McWilliams
• Med Fast Pharmacy LLC
• Sowmini Medavaram, MD
• Medexpress Urgent Care, Inc. - West Virginia
• Jeremy Megargee
• Julia Mejia

• Periodontics in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Periodontics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.