Active NPI
Meera Pradhan
- General Practice Dentistry
- Memphis, TN
National Provider Identifier
1740978295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419124
- Practice address
- University of Tennessee,875 Union Avenue Suite C211
Memphis, TN 38163-0001 - Phone
- (901) 448-2343
- NPI assigned
- Apr 24, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401419124 | VA | Primary |
Addresses
Primary practice location
University of Tennessee,875 Union Avenue Suite C211
Memphis, TN 38163-0001
Mailing address
9945 Hull Street Rd
North Chesterfield, VA 23236-1412
Phone (804) 335-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230801004585 | TN | Order and Referring Only - Dentist | 0143681536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419124 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1740978295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9945 HULL STREET RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232361412",
"telephone_number": "804-335-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TENNESSEE,875 UNION AVENUE SUITE C211",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "MEERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.