Christopher J Meyers, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4306-015 Issued in WI

Practice address

1720 E Lake Bluff Blvd
Shorewood, WI 53211-1517

Phone

(414) 963-2301

Fax

(414) 963-0413

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in WI

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dental Specialists, LLC

  dba Advanced Dental Specialists Bayshore

  • General Practice Dentistry
  • Glendale, WI
  • NPI 1497403398
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215094495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111517",
            "telephone_number": "414-963-2301",
            "fax_number": "414-963-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111517",
            "telephone_number": "414-963-2301",
            "fax_number": "414-963-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "4306-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Transport Services, LLC
• Katarina Meister, ND
• Melissa May Melcher, DNP, MN, RN, FNP-BC
• Kim A Merriman, M.D.
• Metropolitan Medical Center, LLC
• Margita U Meyers, DMD
• Clarissa Kaye Michaels
• Midlife Midwife Mke
• John J Miller, M.D.
• Robert Andrew Miller, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• 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.

Verify at the official NPI Registry.