Active NPI
Lucas J Meyer, D.M.D.
- General Practice Dentistry
- Grover, MO
National Provider Identifier
1053605725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2008017145
- Practice address
- 16599 Hunters Crossing Dr
Grover, MO 63040-1734 - Phone
- (314) 856-8936
- NPI assigned
- May 30, 2011
- Last updated
- May 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2008017145 | MO | Primary |
Addresses
Primary practice location
16599 Hunters Crossing Dr
Grover, MO 63040-1734
Mailing address
16599 Hunters Crossing Dr
Grover, MO 63040-1734
Phone (314) 856-8936
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008017145 | MO | MD | General Practice Dentistry |
Networks
- IA HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306713600000",
"number": "1053605725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16599 HUNTERS CROSSING DR",
"city": "GROVER",
"state": "MO",
"postal_code": "630401734",
"telephone_number": "314-856-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16599 HUNTERS CROSSING DR",
"city": "GROVER",
"state": "MO",
"postal_code": "630401734",
"telephone_number": "314-856-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "LUCAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-30",
"last_updated": "2011-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2008017145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grover, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.