Individual provider Active NPI

Meera Thunga, DDS

  • General Practice Dentistry
  • Mason, OH
National Provider Identifier
1982621835
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21827 Issued in OH
Practice address
969 Reading Rd
Suite J
Mason, OH 45040-2654
Phone
(513) 770-0063
Fax
(513) 770-0102
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 21827 OH Primary

Addresses

Primary practice location

969 Reading Rd
Suite J
Mason, OH 45040-2654

Mailing address

969 Reading Rd
Suite J
Mason, OH 45040-2654
Phone (513) 770-0063

Other practice location 1

205 Dayton Street
Hamilton, OH 45011
Phone (513) 805-4000

Other identifiers 1

IdentifierTypeStateIssuer
2458273MedicaidOH

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
I20170109000973 OH Order and Referring Only - DentistPractitioner - Dentist 3173804044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21827OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peritia Dental, Meera Thunga DDS, LLC CurrentSince Jan 21, 2024 Accepting new patients
Optimal Family Dental LLC General Practice CurrentSince Jan 1, 2009 Accepting new patients

Locations

205 Dayton St
Hamilton, OH 45011
Phone (513) 805-4000

969 Reading Rd
Ste J
Mason, OH 45040
Phone (513) 770-0063

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1982621835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 READING RD",
            "address_2": "SUITE J",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402654",
            "telephone_number": "513-770-0063",
            "fax_number": "513-770-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 READING RD",
            "address_2": "SUITE J",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402654",
            "telephone_number": "513-770-0063",
            "fax_number": "513-770-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Dayton Street",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "45011",
            "country_code": "US",
            "telephone_number": "513-805-4000",
            "fax_number": "513-805-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THUNGA",
        "first_name": "MEERA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2458273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.