Michael Philip Meyer, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4908 Issued in NE

Practice address

1317 N Kings Hwy
Suite 106
Myrtle Beach, SC 29577-3636

Phone

(843) 626-5437

NPI assigned

Jul 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Myrtle Beach Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1568432391
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1235143900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N KINGS HWY",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773636",
            "telephone_number": "843-626-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076209413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Spann Merritt, DMD
• Timea Meszaros, RN, BSN
• Joseph Michael Metz, DO
• Nicholas C Mexas, D.O.
• Ava Catherine Meyer
• Stephen Meyer, M.D.
• Yenney E Meza, M.D.
• MGB Eyes, Inc.
• Michael S Weatherford DC, P.a.
• Andrew Robert Michaels

• Pediatric Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.