Individual provider Active NPI

Meng Deng

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
National Provider Identifier
1922730308
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
38989 Issued in TX
Practice address
3030 LBJ Fwy Ste 1700
Dallas, TX 75234-2759
Phone
(972) 663-5070
NPI assigned
Jun 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38989 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401417916 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 38989 TX Primary

Addresses

Primary practice location

3030 LBJ Fwy Ste 1700
Dallas, TX 75234-2759

Mailing address

3030 LBJ Fwy Ste 1700
Dallas, TX 75234-2759
Phone (972) 663-5070

Other practice location 1

2338 E Little Creek Rd
Norfolk, VA 23518-3225
Phone (757) 785-4672

Other identifiers 1

IdentifierTypeStateIssuer
0401417916OtherVAVA DENTAL LICENSE

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

LicenseStateTypeSpecialty
38989TXMDDentist
0401417916VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1922730308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342759",
            "telephone_number": "972-663-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342759",
            "telephone_number": "972-663-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 E Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183225",
            "country_code": "US",
            "telephone_number": "757-785-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENG",
        "first_name": "MENG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-25",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38989",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401417916",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DENTAL LICENSE",
            "identifier": "0401417916",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.