Organization Active NPI

Mark D. Meyers DDS, PC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1184788507
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013134 Issued in MO
Legal business name
MARK D. MEYERS DDS, PC
Practice address
11678 Baptist Church Rd
Saint Louis, MO 63128-1382
Phone
(314) 849-1400
Fax
(314) 849-7644
NPI assigned
Dec 20, 2006
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Mark D. Meyers DDS, D.D.S.
Title
President
Phone
(314) 849-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013134 MO Primary

Addresses

Primary practice location

11678 Baptist Church Rd
Saint Louis, MO 63128-1382

Mailing address

11678 Baptist Church Rd
Saint Louis, MO 63128-1382

National Provider Directory

National Provider Directory

Locations

11678 Baptist Church Rd
Saint Louis, MO 63128
Phone (314) 849-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1184788507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 BAPTIST CHURCH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281382",
            "fax_number": "314-849-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 BAPTIST CHURCH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281382",
            "telephone_number": "314-849-1400",
            "fax_number": "314-849-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. MEYERS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MEYERS DDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-849-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.