Active NPI
Andrew Dale Meyers, D.D.S.
- Dentist
- Holmdel, NJ
National Provider Identifier
1356559710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13623N
- Practice address
- 2124 State Route 35
Holmdel, NJ 07733-1084 - Phone
- (732) 671-8866
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13623N | NJ | Primary |
Addresses
Primary practice location
2124 State Route 35
Holmdel, NJ 07733-1084
Mailing address
2124 State Route 35
Holmdel, NJ 07733-1084
Phone (732) 671-8866
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13623N | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356559710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 STATE ROUTE 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331084",
"telephone_number": "732-671-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 STATE ROUTE 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331084",
"telephone_number": "732-671-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "ANDREW",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "13623N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
- Meridian Hospitals Corporation
- Meridian Hospitals Corporation (Bayshore Community Hospital)
- Meridian Nursing and Rehabilitation Inc (Bayshore Health Care Center)
- Meridian Nursing and Rehabilitation Inc (Bayshore Health Care Center)
- Meridian Nursing and Rehabilitation, Inc (Bayshore Healthcare Center)
- Michael Dicarlo DDS PC (Dental Health Center of Holmdel)
- Middletown/Holmdel Physical Therapy
- Midjersey Anesthesia Associates
- Miguelino and David Pediatric Associates,LLC
- Bernadette Miguelino, MD
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.