Ana Maria Mejia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13802 Issued in CT

Practice address

630 Tolland Stage Rd
Tolland, CT 06084-2924

Phone

(860) 872-8551

NPI assigned

Jun 19, 2023

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1881379683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 LAMONT AVE",
            "address_2": "APT 2H",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732762",
            "telephone_number": "646-595-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TOLLAND STAGE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842924",
            "telephone_number": "860-872-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Gavin Martinez, D.D.S.
• Tara McCann
• Catharine B McDonald, MS, NCC, LPC
• Jennifer McMillan, M.ED
• Med- East Associates LLC
• Michelle Gaston LLC
• Nicole Marie Millar, PHARMD
• Lisa Ann Miller, MS, RD
• Laura Mills, PT
• Ruben Morales Jr., DPT

• General Practice Dentistry in Tolland, CT
• Providers in Tolland, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.