Individual provider Active NPI

Eiriny Meshreky, DDS

  • Dentist
  • Cookeville, TN
National Provider Identifier
1811624596
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11978 Issued in TN
Practice address
350 S Lowe Ave
Cookeville, TN 38501-3567
Phone
(931) 528-5105
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11978 TN Primary

Addresses

Primary practice location

350 S Lowe Ave
Cookeville, TN 38501-3567

Mailing address

350 S Lowe Ave
Cookeville, TN 38501-3567
Phone (931) 528-5105

Other practice location 1

6688 Nolensville Rd
Brentwood, TN 37027-8833
Phone (615) 645-0463

Other identifiers 1

IdentifierTypeStateIssuer
TN11978OtherTNTENNESSEE LICENSE NUMBER

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

LicenseStateTypeSpecialty
11978TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maison Dental PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1811624596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S LOWE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013567",
            "telephone_number": "931-528-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LOWE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013567",
            "telephone_number": "931-528-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6688 Nolensville Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278833",
            "country_code": "US",
            "telephone_number": "615-645-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESHREKY",
        "first_name": "EIRINY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE LICENSE NUMBER",
            "identifier": "TN11978",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.