Organization Active NPI

Kathy Meyer DDS PC

  • Dentist
  • Elmwood Park, IL
National Provider Identifier
1306064613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KATHY MEYER DDS PC
Practice address
7544 W North Ave
Suite 4
Elmwood Park, IL 60707-4141
Phone
(708) 452-1879
Fax
(708) 452-1893
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathy Meyer, D.D.S.
Title
President
Phone
(708) 452-1879

Specialties & licenses 1

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

Addresses

Primary practice location

7544 W North Ave
Suite 4
Elmwood Park, IL 60707-4141

Mailing address

7544 W North Ave
Suite 4
Elmwood Park, IL 60707-4141
Phone (708) 452-1879

National Provider Directory

National Provider Directory

Locations

7544 W North Ave
Ste 4
Elmwood Park, IL 60707
Phone (708) 452-1879

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306064613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE",
            "address_2": "SUITE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074141",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 W NORTH AVE",
            "address_2": "SUITE 4",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074141",
            "telephone_number": "708-452-1879",
            "fax_number": "708-452-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY MEYER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-452-1879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.