Active NPI
Meyer and Dana Orthodontics Gillette, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gillette, WY
National Provider Identifier
1093300063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.