Active NPI
Samuel M Meline, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Key West, FL
National Provider Identifier
1790883841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0002580
- Practice address
- 3146 Northside Dr # B
Key West, FL 33040-8014 - Phone
- (305) 294-4661
- Fax
- (305) 294-4661
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0002580 | FL | Primary |
Addresses
Primary practice location
3146 Northside Dr # B
Key West, FL 33040-8014
Mailing address
89 Juniper Rd
Hollywood, FL 33021-2817
Phone (954) 962-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002580 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790883841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 JUNIPER RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212817",
"telephone_number": "954-962-3939",
"fax_number": "954-961-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3146 NORTHSIDE DR # B",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408014",
"telephone_number": "305-294-4661",
"fax_number": "305-294-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELINE",
"first_name": "SAMUEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "0002580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.