Active NPI
Anita Myers, D.D.S.
- Dentist
- Boerne, TX
National Provider Identifier
1245698554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13956
- Practice address
- 134 Menger SPGS
#1310
Boerne, TX 78006-7218 - Phone
- (830) 816-5160
- Fax
- (830) 282-6794
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 13956 | TX | Primary |
Addresses
Primary practice location
134 Menger SPGS
#1310
Boerne, TX 78006-7218
Mailing address
134 Menger SPGS
#1310
Boerne, TX 78006-7218
Phone (830) 816-5160
Other names 1
- Dr. Anita C. Tonking Myers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231130002197 | TX | Order and Referring Only - Dentist | 6103125497 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13956 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1245698554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 MENGER SPGS",
"address_2": "#1310",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067218",
"telephone_number": "830-816-5160",
"fax_number": "830-282-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MENGER SPGS",
"address_2": "#1310",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067218",
"telephone_number": "830-816-5160",
"fax_number": "830-282-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "13956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "MYERS",
"middle_name": "C. TONKING",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.