Individual provider Active NPI

Mark Dennis Meyers, DDS

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1093074353
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013134 Issued in MO
Practice address
11678 Baptist Church Rd.
St. Louis, MO 63128-1382
Phone
(314) 849-1400
Fax
(314) 849-7644
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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 013134 MO Primary

Addresses

Primary practice location

11678 Baptist Church Rd.
St. Louis, MO 63128-1382

Mailing address

11678 Baptist Church Rd.
St. Louis, MO 63128-1382
Phone (314) 849-1400

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

LicenseStateTypeSpecialty
013134MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Meyers DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1093074353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 BAPTIST CHURCH RD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631281382",
            "telephone_number": "314-849-1400",
            "fax_number": "314-849-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 BAPTIST CHURCH RD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631281382",
            "telephone_number": "314-849-1400",
            "fax_number": "314-849-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "MARK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.