Active NPI
Rollin Cary Mead, DDS
- Endodontics
- Cheyenne, WY
National Provider Identifier
1922112341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 1052
- Practice address
- 151 Storey Blvd
Cheyenne, WY 82009-3527 - Phone
- (307) 635-5450
- Fax
- (307) 635-5249
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 1052 | WY | Primary |
Addresses
Primary practice location
151 Storey Blvd
Cheyenne, WY 82009-3527
Mailing address
151 Storey Blvd
Cheyenne, WY 82009-3527
Phone (307) 635-5450
Other names 1
- Dr. R. Cary Mead
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052 | WY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922112341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 STOREY BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820093527",
"telephone_number": "307-635-5450",
"fax_number": "307-635-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 STOREY BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820093527",
"telephone_number": "307-635-5450",
"fax_number": "307-635-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "ROLLIN",
"middle_name": "CARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WY",
"license": "1052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "MEAD",
"middle_name": "CARY",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cheyenne, WY
Sources for this page
- 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.