NPIMap

Organization Active NPI

Dennis T. Myers D.D.S.,P.a

  • Dentist
  • St Joseph, MO
National Provider Identifier
1285824482
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011475 Issued in MO
Legal business name
DENNIS T. MYERS D.D.S.,P.A
Practice address
3115 Ashland Ave Suit299
St Joseph, MO 64506
Phone
(816) 232-9790
Fax
(816) 232-9814
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Kim Kay Manthe
Title
Office Manager
Phone
(816) 232-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 011475 MO Primary

Addresses

Primary practice location

3115 Ashland Ave Suit299
St Joseph, MO 64506

Mailing address

3115 Ashland Ave Suit299
St Joseph, MO 64506
Phone (816) 232-9790

Other identifiers 1

IdentifierTypeStateIssuer
860976OtherKSBCBS OF KS

National Provider Directory

National Provider Directory
Tax ID family
Dennis T Myers Ddspa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3115 Ashland Ave
Ste 299
Saint Joseph, MO 64506
Phone (816) 232-9790

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1285824482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ASHLAND AVE SUIT299",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-9790",
            "fax_number": "816-232-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ASHLAND AVE SUIT299",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-9790",
            "fax_number": "816-232-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS T. MYERS D.D.S.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MANTHE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-232-9790"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "011475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "860976",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.