NPIMap

Organization Active NPI

Michael Meyer DMD PC

  • General Practice Dentistry
  • Bedford, IN
National Provider Identifier
1104922129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007013 Issued in IN
Legal business name
MICHAEL MEYER DMD PC
Practice address
1504 Dental Dr
Bedford, IN 47421-3574
Phone
(812) 275-7112
Fax
(812) 275-7244
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael John Meyer, DMDNPI 1871697961
Title
President
Phone
(812) 275-7112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12007013 IN Primary

Addresses

Primary practice location

1504 Dental Dr
Bedford, IN 47421-3574

Mailing address

1504 Dental Dr
Bedford, IN 47421-3574
Phone (812) 275-7112

National Provider Directory

National Provider Directory

Locations

1504 Dental Dr
Bedford, IN 47421
Phone (812) 275-7112

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104922129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 DENTAL DR",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213574",
            "telephone_number": "812-275-7112",
            "fax_number": "812-275-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 DENTAL DR",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213574",
            "telephone_number": "812-275-7112",
            "fax_number": "812-275-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MEYER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-275-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.