Individual provider Active NPI

Graham Kyle Meng, D.D.S.

  • Dentist
  • Missoula, MT
National Provider Identifier
1851672182
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.028841 Issued in IL
Practice address
2315 McDonald Ave Ste 310
Missoula, MT 59801-7347
Phone
(406) 543-5647
NPI assigned
Aug 31, 2011
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001491 MT Order and Referring Only - DentistPractitioner - Dentist 4587977970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.028841ILMDDentist
2468MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Meng Dentistry, PLLC Prosthodontics PastSince Apr 25, 2021 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.

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

Verify at the official NPI Registry.