Shawna Renee Myers, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2003015251 Issued in MO

Practice address

110 South 2ND Street
Ellington, MO 63638-0157

Phone

(573) 663-2313

Fax

(573) 663-2322

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1154504686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH 2ND STREET",
            "address_2": "PO BOX 157",
            "city": "ELLINGTON",
            "state": "MO",
            "postal_code": "636380157",
            "telephone_number": "573-663-2313",
            "fax_number": "573-663-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH 2ND STREET",
            "city": "ELLINGTON",
            "state": "MO",
            "postal_code": "636380157",
            "telephone_number": "573-663-2313",
            "fax_number": "573-663-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHAWNA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2003015251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel E Morris
• Shelby Nicole Ohrenberg
• Paul De Vries Rains, D.O.
• Iris Fae Ross, MA, L.P.C.
• Rodney T. Rubi, MD
• Jenny S. Russell

• Dental Hygienist in Ellington, MO
• Providers in Ellington, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.