Individual provider Active NPI

Meagan Thomas, DMD

  • Dentist
  • Indialantic, FL
National Provider Identifier
1790192862
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20646 Issued in FL
Practice address
329 4TH Ave
Indialantic, FL 32903-4213
Phone
(321) 723-5242
Fax
(321) 676-3230
NPI assigned
Jul 21, 2014
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20646 FL Primary

Addresses

Primary practice location

329 4TH Ave
Indialantic, FL 32903-4213

Mailing address

329 4TH Ave
Indialantic, FL 32903-4213
Phone (321) 723-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717001955 FL Order and Referring Only - DentistPractitioner - Dentist 4981917051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20646FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Indialantic Dental PA Past Accepting new patients
Vincent J Monticciolo 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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1790192862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034213",
            "telephone_number": "321-723-5242",
            "fax_number": "321-676-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034213",
            "telephone_number": "321-723-5242",
            "fax_number": "321-676-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEAGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.