Organization Active NPI

Meyer and Dana Orthodontics Gillette, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gillette, WY
National Provider Identifier
1093300063
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MEYER AND DANA ORTHODONTICS GILLETTE, PLLC
Practice address
2670 Oakcrest Dr
Gillette, WY 82718-5905
Phone
(307) 257-8029
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Isaac A Jahn, MPA
Title
Director of Administration
Phone
(605) 343-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2670 Oakcrest Dr
Gillette, WY 82718-5905

Mailing address

2620 Jackson Blvd Ste a
Rapid City, SD 57702-3478
Phone (605) 646-0034

Other names 1

  • Meyer and Dana Orthodontics Gillette Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1093300063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-646-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 OAKCREST DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185905",
            "telephone_number": "307-257-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYER AND DANA ORTHODONTICS GILLETTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "605-343-1500",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyer and Dana Orthodontics Gillette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.