Marc J Meadows DDS PC
Marc J Meadows DDS PC is a healthcare organization registered as General Practice Dentistry in Bloomington, IN, holding Type 2 (organization) NPI 1114016201 since 2006. The authorized official on file is Lisa Meadows, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114016201 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Marc J Meadows DDS PC |
| Other name | <Unavail> |
| Practice address | 515 S WOODSCREST DR, Bloomington, IN, 47401 |
| Phone | 8123320866 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2008-07-17 |
Authorized official
| Name | Lisa Meadows |
|---|---|
| Title | Business Manager |
| Phone | 8123320866 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 12010415 | IN |
Copy-ready billing details
Provider: Marc J Meadows DDS PC NPI: 1114016201 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 515 S WOODSCREST DR, Bloomington, IN, 47401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376657783 | Hideki Kawanishi | Individual | Nephrology Physician | Bloomington, IN |
| 1164536587 | Bloomington Kidney & Hypertension Specialists PC | Organization | Nephrology Physician | Bloomington, IN |
| 1235226903 | D. J. Tony Kenworthy | Individual | General Practice Dentistry | Bloomington, IN |
| 1376669937 | Robert Rimstidt | Individual | Pediatric Dentistry | Bloomington, IN |
Verify this record
Cross-check NPI 1114016201 against the authoritative CMS record: view Marc J Meadows DDS PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-07-17.