Individual provider Active NPI

Eduardo Meza, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1891135182
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29863 Issued in TX
Practice address
4000 Manchaca Rd
Austin, TX 78704-6738
Phone
(512) 441-2098
Fax
(512) 441-3550
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29863 TX Primary

Addresses

Primary practice location

4000 Manchaca Rd
Austin, TX 78704-6738

Mailing address

4000 Manchaca Rd
Austin, TX 78704-6738
Phone (512) 441-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140102000448 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496983124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29863TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Burton, DMD PLLC CurrentSince Aug 8, 2021 Accepting new patients
Aryan Dental Center PLLC General Practice Past Accepting new patients

Locations

4000 Menchaca Rd
Austin, TX 78704
Phone (512) 441-2098

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1891135182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046738",
            "telephone_number": "512-441-2098",
            "fax_number": "512-441-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046738",
            "telephone_number": "512-441-2098",
            "fax_number": "512-441-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.