Individual provider Active NPI

Eric Martin Meyer, DDS

  • Dentist
  • Fullerton, CA
National Provider Identifier
1295956969
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37262 Issued in CA
Practice address
2720 N Harbor Blvd Ste 110
Fullerton, CA 92835-2625
Phone
(714) 879-7943
Fax
(714) 879-0754
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37262 CA Primary

Addresses

Primary practice location

2720 N Harbor Blvd Ste 110
Fullerton, CA 92835-2625

Mailing address

2720 N Harbor Blvd Ste 110
Fullerton, CA 92835-2625
Phone (714) 879-7943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160812002264 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446544480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37262CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Meyer DDS Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1295956969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352625",
            "telephone_number": "714-879-7943",
            "fax_number": "714-879-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352625",
            "telephone_number": "714-879-7943",
            "fax_number": "714-879-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ERIC",
        "middle_name": "MARTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.