Active NPI
David T Meadows, M.D.
- Family Medicine Physician
- Sisseton, SD
National Provider Identifier
1770514390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49097
- Practice address
- 205 Orchard Dr
Sisseton, SD 57262-2312 - Phone
- (605) 698-7681
- Fax
- (605) 698-3493
- NPI assigned
- Jul 5, 2006
- Last updated
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A73320 | CA | |
| Family Medicine Physician | 207Q00000X | 49097 | CO | Primary |
| Family Medicine Physician | 207Q00000X | 9701 | SD |
Addresses
Primary practice location
205 Orchard Dr
Sisseton, SD 57262-2312
Mailing address
205 Orchard Dr
Sisseton, SD 57262-2312
Phone (605) 698-7681
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S110296 | Other | SD | MEDICARE ID |
| S110305CAH | Other | SD | PROVIDER TRANSACTION PROVIDER NUMBER |
| 92238360 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73320 | CA | MD | Family Medicine Physician |
| 49097 | CO | MD | Family Medicine Physician |
| 9701 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Family Medicine | Current | Accepting new patients |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Yuba Docs Medical Group, Inc | Past | Accepting new patients | |
| Norton Sound Health Corp | Past | Accepting new patients |
Interoperability endpoints
- davidmeadows@tdh.allscriptsdirect.net
- dtmeadows@direct.nshcorp.org
Organizations & group practices 6
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.
-
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- Nome, AK
- NPI 1225101041
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Nursing Facility/Intermediate Care Facility
- Nome, AK
- NPI 1629198403
-
- Urgent Care Clinic/Center
- Grass Valley, CA
- NPI 1245265842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1770514390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ORCHARD DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "572622312",
"telephone_number": "605-698-7681",
"fax_number": "605-698-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ORCHARD DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "572622312",
"telephone_number": "605-698-7681",
"fax_number": "605-698-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A73320",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "49097",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "9701",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "S110296",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION PROVIDER NUMBER",
"identifier": "S110305CAH",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92238360",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.