Individual provider Active NPI

Anita Myers, D.D.S.

  • Dentist
  • Boerne, TX
National Provider Identifier
1245698554
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13956 Issued in TX
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

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130002197 TX Order and Referring Only - DentistPractitioner - Dentist 6103125497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13956TXMDDentist

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

Verify at the official NPI Registry.