Stephen Mark Meacham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5983 Issued in OK

Practice address

1103 Rivery Blvd
300
Georgetown, TX 78628-3034

Phone

(512) 868-0238

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Affordable Dentures & Implants - Texas, PLLC

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1750616637
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1871793083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 RIVERY BLVD",
            "address_2": "300",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283034",
            "telephone_number": "512-868-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 RIVERY BLVD",
            "address_2": "300",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283034",
            "telephone_number": "512-868-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devyn McNamara
• Melanie Marie McQueen, AUD
• Hazel Leigh McRae, MA, LPC
• Abigail Nance McReynolds, PA-C
• Edward Michael McTague, PT, DPT, OCS
• Cody D Mead, D.O.
• Medical Billing Solutions, Inc.
• Jennifer Marie Medina, L.C.S.W.
• Medsur One Telemedicine LLC
• Deborah Meeker, P.T.

• General Practice Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.