Active NPI
Donald Meyers, DDS
- Dentist
- Antioch, TN
National Provider Identifier
1215083852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2161
- Practice address
- 5352 Hickory Hollow Pkwy
Antioch, TN 37013-3128 - Phone
- (615) 731-0889
- Fax
- (615) 731-0869
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2161 | TN | Primary |
Addresses
Primary practice location
5352 Hickory Hollow Pkwy
Antioch, TN 37013-3128
Mailing address
5352 Hickory Hollow Pkwy
Antioch, TN 37013-3128
Phone (615) 731-0889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16044 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519000064 | TN | Order and Referring Only - Other (Non-Physician) | 6608165352 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2161 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Dental Care of Tennessee, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Antioch Dental Care
- General Practice Dentistry
- Antioch, TN
- NPI 1912128117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215083852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352 HICKORY HOLLOW PKWY",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133128",
"telephone_number": "615-731-0889",
"fax_number": "615-731-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352 HICKORY HOLLOW PKWY",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370133128",
"telephone_number": "615-731-0889",
"fax_number": "615-731-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "2161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16044",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, TN
- Audra L. Meeks, ANP
- Vivian Mekhaeil
- Mercy Medtrans
- Narkeeta Merrell
- Metropolitan Government of Nashville & Davidson County (Nashville Fire Department EMS)
- Mic's Place, Inc. (Care Nests)
- Middle Tennessee Imaging, LLC (Premier Radiology Antioch)
- Mighty Hearts Home Care Inc
- Amgad Mikhaeil, OD
- Eriny Mikhail
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.