Kira Meyerkova, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41958 Issued in CA

Practice address

8522 Foothill Blvd
Sunland, CA 91040-1951

Phone

(818) 352-8888

Fax

(818) 352-4457

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Iovanna Goldenberg,DDS & Kira Meyerkova,DDS a Professional Dental Corp

  • General Practice Dentistry
  • Sunland, CA
  • NPI 1679784581
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1154440261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401951",
            "telephone_number": "818-352-8888",
            "fax_number": "818-352-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401951",
            "telephone_number": "818-352-8888",
            "fax_number": "818-352-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERKOVA",
        "first_name": "KIRA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D41958-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medex Pharmacies Corp
• Medex Pharmacies Corp
• Rajya Lakshmi Meka, RPH
• Tania Menachegani Khachatourians, RD
• James Edward Mertzel, DDS
• MG Home Health, Inc.
• Mhiramarc Management LLC.
• Mid Town Hospice Inc
• Roumelia Joy Minimo, REGISTERED NURSE
• Flora Mirzakhany

• General Practice Dentistry in Sunland, CA
• Providers in Sunland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.