Active NPI
Graham Kyle Meng, D.D.S.
- Dentist
- Missoula, MT
National Provider Identifier
1851672182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.028841
- Practice address
- 2315 McDonald Ave Ste 310
Missoula, MT 59801-7347 - Phone
- (406) 543-5647
- NPI assigned
- Aug 31, 2011
- Last updated
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.028841 | IL | Primary |
| Prosthodontics | 1223P0700X | 2468 | MT |
Addresses
Primary practice location
2315 McDonald Ave Ste 310
Missoula, MT 59801-7347
Mailing address
2315 McDonald Ave Ste 310
Missoula, MT 59801-7347
Phone (406) 543-5647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20150714001491 | MT | Order and Referring Only - Dentist | 4587977970 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.028841 | IL | MD | Dentist |
| 2468 | MT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meng Dentistry, PLLC | Prosthodontics | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthodontics
- Missoula, MT
- NPI 1548507171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1851672182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 MCDONALD AVE STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017347",
"telephone_number": "406-543-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 MCDONALD AVE STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017347",
"telephone_number": "406-543-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENG",
"first_name": "GRAHAM",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.028841",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MT",
"license": "2468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.