Individual provider Active NPI

Timothy J. Myers, DDS

  • General Practice Dentistry
  • Scotts Valley, CA
National Provider Identifier
1326134982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22653 Issued in CA
Practice address
5321 Scotts Valley Dr.
Suite 210
Scotts Valley, CA 95066
Phone
(831) 438-4020
Fax
(831) 438-3927
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22653 CA Primary

Addresses

Primary practice location

5321 Scotts Valley Dr.
Suite 210
Scotts Valley, CA 95066

Mailing address

5321 Scotts Valley Dr.
Suite 210
Scotts Valley, CA 95066
Phone (831) 438-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22653CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Asnani DDS Inc. PastSince Jul 29, 2018 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326134982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 SCOTTS VALLEY DR.",
            "address_2": "SUITE 210",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-438-4020",
            "fax_number": "831-438-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 SCOTTS VALLEY DR.",
            "address_2": "SUITE 210",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-438-4020",
            "fax_number": "831-438-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.