Organization Active NPI

Jamie F Meyers, DDS, MD, PA

  • Specialist
  • Palestine, TX
National Provider Identifier
1386811784
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3856 Issued in TX
Legal business name
JAMIE F MEYERS, DDS, MD, PA
Practice address
1721 S Sycamore St
Palestine, TX 75801-6921
Phone
(903) 723-5111
Fax
(903) 723-0328
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Jamie F Meyers, DDS, MD
Title
President/Physician
Phone
(903) 723-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J3856 TX Primary

Addresses

Primary practice location

1721 S Sycamore St
Palestine, TX 75801-6921

Mailing address

1721 S Sycamore St
Palestine, TX 75801-6921
Phone (903) 723-5111

Other identifiers 4

IdentifierTypeStateIssuer
00L19HOtherTXBLUE CROSS/BLUE SHIELD
034546401MedicaidTX
859955OtherTXUNITED CONCORDIA
G60231OtherTXCHIPS

Other names 1

  • East Texas Facial and Oral Surgery Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386811784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016921",
            "telephone_number": "903-723-5111",
            "fax_number": "903-723-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016921",
            "telephone_number": "903-723-5111",
            "fax_number": "903-723-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE F MEYERS, DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "903-723-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00L19H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034546401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "859955",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "G60231",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Facial and Oral Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.