NPIMap

Organization Active NPI

Matthew Meyer D.D.S., P.a.

Doing business as Parkway Dental

  • Dental Clinic/Center
  • Eden Prairie, MN
National Provider Identifier
1235382706
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11429 Issued in MN
Legal business name
MATTHEW MEYER D.D.S., P.A.
Doing business as
Parkway Dental
Practice address
16518 W 78TH St
Eden Prairie, MN 55346-4302
Phone
(952) 937-2137
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Matthew Meyer, DDSNPI 1407863012
Title
President
Phone
(952) 937-2137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11429 MN Primary

Addresses

Primary practice location

16518 W 78TH St
Eden Prairie, MN 55346-4302

Mailing address

16518 W 78TH St
Eden Prairie, MN 55346-4302
Phone (952) 937-2137

Other names 1

  • Parkway Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1235382706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16518 W 78TH ST",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464302",
            "telephone_number": "952-937-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16518 W 78TH ST",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464302",
            "telephone_number": "952-937-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MEYER D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-937-2137",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.