Active NPI
Kimberly A Meng, DDS., PH.D.
- Oral and Maxillofacial Surgery (Dentist)
- Hammond, LA
National Provider Identifier
1841399532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4497
- Practice address
- 907 W Thomas St
Suite a
Hammond, LA 70401-3037 - Phone
- (985) 230-0200
- Fax
- (985) 230-0600
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4497 | LA | Primary |
Addresses
Primary practice location
907 W Thomas St
Suite a
Hammond, LA 70401-3037
Mailing address
608 Tchoupitoulas St
New Orleans, LA 70130-3212
Phone (504) 525-2454
Other practice location 1
608 Tchoupitoulas St
New Orleans, LA 70130-3212
Phone (504) 525-2454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841399532 | Medicaid | LA | |
| 1844977 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 26, 2023 through Jul 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1841399532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 TCHOUPITOULAS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701303212",
"telephone_number": "504-525-2454",
"fax_number": "504-525-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 W THOMAS ST",
"address_2": "SUITE A",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013037",
"telephone_number": "985-230-0200",
"fax_number": "985-230-0600"
}
],
"practiceLocations": [
{
"address_1": "608 Tchoupitoulas St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701303212",
"country_code": "US",
"telephone_number": "504-525-2454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENG",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "4497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841399532",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1844977",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.