Organization Active NPI

Dennis T. Myers D.D.S.,P.a.

  • Dentist
  • Troy, KS
National Provider Identifier
1013107218
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4781 Issued in KS
Legal business name
DENNIS T. MYERS D.D.S.,P.A.
Practice address
102 E. Walnut Street
Troy, KS 66087
Phone
(785) 985-2555
Fax
(785) 985-3662
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Kim Kay Manthe
Title
Office Manager
Phone
(785) 985-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4781 KS Primary

Addresses

Primary practice location

102 E. Walnut Street
Troy, KS 66087

Mailing address

102 E. Walnut Street
P.O. Box 586
Troy, KS 66087
Phone (785) 985-2555

Other identifiers 1

IdentifierTypeStateIssuer
8341OtherKSBCBS OF KS

National Provider Directory

National Provider Directory
Tax ID family
Dennis T Myers Ddspa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1013107218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E. WALNUT STREET",
            "address_2": "P.O. BOX 586",
            "city": "TROY",
            "state": "KS",
            "postal_code": "66087",
            "telephone_number": "785-985-2555",
            "fax_number": "785-985-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E. WALNUT STREET",
            "city": "TROY",
            "state": "KS",
            "postal_code": "66087",
            "telephone_number": "785-985-2555",
            "fax_number": "785-985-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS T. MYERS D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MANTHE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-985-2555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "4781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "8341",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.