Ernest Thomas Meyer, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6856 Issued in TN

Practice address

1815 Haynes St
Clarksville, TN 37043-4548

Phone

(931) 553-6959

Fax

(931) 553-8659

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1407954035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434548",
            "telephone_number": "931-553-6959",
            "fax_number": "931-553-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434548",
            "telephone_number": "931-553-6959",
            "fax_number": "931-553-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ERNEST",
        "middle_name": "THOMAS",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "6856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "0161031",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "806412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Mesa-Burton
• Jonathan Mesa
• Kailee Messer
• Kimberly Helen Messer
• Amir Messiha
• Heath Ryan Meyer, DDS
• Mary Meyer, FNP
• Zachary Meyer, D.D.S
• MH Health Care Services, PC
• Jocelyn Michael, BSW

• General Practice Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.