Andrew Joseph Mesaros Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2837 Issued in WV

Practice address

360 Wilson Dr
Xenia, OH 45385-1810

Phone

(937) 374-5600

Fax

(937) 374-5692

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1902829351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 EDENWOOD DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346821",
            "telephone_number": "937-431-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WILSON DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851810",
            "telephone_number": "937-374-5600",
            "fax_number": "937-374-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESAROS",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Service Associates of Xenia Inc
• Medical Service Associates of Xenia, Inc.
• Amy S Medrano
• Sara D Mefford
• Shannon Lyn Merriman, RN
• Shelley Kay Meyerhoeffer, COTA/L
• Samuel Mickle
• Shawna Mikesell
• Brianna Miles
• Ashley Miller, CDCA, COTA/L

• General Practice Dentistry in Xenia, OH
• Providers in Xenia, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.