Active NPI
Meagan Thomas, DMD
- Dentist
- Indialantic, FL
National Provider Identifier
1790192862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20646
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717001955 | FL | Order and Referring Only - Dentist | 4981917051 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20646 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Indialantic, FL
- NPI 1568375277
-
- Dental Clinic/Center
- New Port Richey, FL
- NPI 1760658413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.