Organization Active NPI

Donald K Meyer DDS PC

  • Dentist
  • Independence, MO
National Provider Identifier
1225177405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DONALD K MEYER DDS PC
Practice address
4731 South Cochise Suite 204
Independence, MO 64055
Phone
(816) 373-0753
Fax
(816) 373-0792
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald K Meyer, DR OF DENTAL SURGER
Title
Dr Donald K Meyer DDS PC
Phone
(816) 373-0753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4731 South Cochise Suite 204
Independence, MO 64055

Mailing address

4731 South Cochise Suite 204
Independence, MO 64055
Phone (816) 373-0753

Other identifiers 2

IdentifierTypeStateIssuer
01242014OtherBCBS OF KANSAS CITY MO
0009708OtherMODELTA DENTAL

National Provider Directory

National Provider Directory

Locations

4731 S Cochise Dr
Ste 204
Independence, MO 64055
Phone (816) 373-0753

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225177405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 SOUTH COCHISE SUITE 204",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-373-0753",
            "fax_number": "816-373-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 SOUTH COCHISE SUITE 204",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-373-0753",
            "fax_number": "816-373-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD K MEYER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR DONALD K MEYER DDS PC",
        "authorized_official_telephone_number": "816-373-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR OF DENTAL SURGER"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY MO",
            "identifier": "01242014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "0009708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.