Debra A Meadows, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

32790 Issued in CA

Practice address

2015B N Waterman Ave
San Bernardino, CA 92404-4834

Phone

(909) 886-0688

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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.

• David J Wolfe DDS

  • Dental Clinic/Center
  • San Bernardino, CA
  • NPI 1649479320
  NPD (past)
• Debra a. Meadows, DDS Inc

  • Endodontics
  • San Bernardino, CA
  • NPI 1548708423
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902937311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 MONTEREY ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736949",
            "telephone_number": "909-798-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015B N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044834",
            "telephone_number": "909-886-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "32790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey McWilliams, OD
• MD Medical Transport
• MDG Consulting Group Inc
• Elizabeth Ashley Meade, N.P.
• Ahmon Jamal Meadows
• Taliah I Meadows
• Breana Manu'a Limalau Meaole I
• Fred Alan Meares, MFT
• Jonathan Lim Meas
• Hannah Kathleen Mecate

• Endodontics in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.