Matthew Todd Meyers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09583 Issued in IA

Practice address

800 1St Ave N Ste 2
Clear Lake, IA 50428-1725

Phone

(641) 357-8111

Fax

(641) 357-7713

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1013402486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST AVE N STE 2",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281725",
            "telephone_number": "641-357-8111",
            "fax_number": "641-357-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE N STE 2",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281725",
            "telephone_number": "641-357-8111",
            "fax_number": "641-357-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas David McColley, D.C.
• Norma C McGuire, MD
• Jeffrey D McLaughlin, OT
• Mercy Health Services-Iowa Corp
• Jeanette Messer, SLP
• Minds That Matter Counseling PC
• Sara A Mishek
• Tracy M Mixdorf, DO
• Molencamp Physical Therapy and Wellness
• Megan Moore, CCC-SLP

• General Practice Dentistry in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.