Individual provider Active NPI

Elizabeth Meyers Tomlin, D.D.S., M.S.

  • Dentist
  • Dallas, TX
National Provider Identifier
1194920207
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23291 Issued in TX
Practice address
5500 Preston Rd
Suite 345
Dallas, TX 75205-2662
Phone
(214) 522-9700
Fax
(214) 522-8181
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23291 TX Primary

Addresses

Primary practice location

5500 Preston Rd
Suite 345
Dallas, TX 75205-2662

Mailing address

5500 Preston Rd
Suite 345
Dallas, TX 75205-2662
Phone (214) 522-9700

Other names 1

  • Elizabeth Anne Meyers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521000500 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4082934724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1194920207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 PRESTON RD",
            "address_2": "SUITE 345",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052662",
            "telephone_number": "214-522-9700",
            "fax_number": "214-522-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 PRESTON RD",
            "address_2": "SUITE 345",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052662",
            "telephone_number": "214-522-9700",
            "fax_number": "214-522-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "ELIZABETH",
        "middle_name": "MEYERS",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MEYERS",
            "middle_name": "ANNE",
            "credential": "D.D.S., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.