Individual provider Active NPI

Christopher Roger Myers, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Folsom, CA
National Provider Identifier
1437487808
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
58892 Issued in CA
Practice address
825 E Bidwell St Ste 400
Folsom, CA 95630
Phone
(916) 984-4591
NPI assigned
Nov 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58892 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 58892 CA Primary

Addresses

Primary practice location

825 E Bidwell St Ste 400
Folsom, CA 95630

Mailing address

1616 Oak Hill Way
Roseville, CA 95661-4017
Phone (408) 250-0387

Other practice location 1

6600 Pfeiffer Ranch Rd
San Jose, CA 95120-1625
Phone (408) 250-0387

Other practice location 2

1616 Oak Hill Way
Roseville, CA 95661-4017
Phone (408) 250-0387

Other practice location 3

10425 Fair Oaks Blvd Ste 203
Fair Oaks, CA 95628-7559
Phone (916) 966-1751

Other practice location 4

2525 K St Ste 106
Sacramento, CA 95816-5114
Phone (916) 441-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910002023 CA Order and Referring Only - DentistPractitioner - Dentist 7315297512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher R. Myers DDS Inc Orthodontics and Dentofacial Orthopedics CurrentSince Sep 4, 2022 Accepting new patients
Daftinc and Stamosinc Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Daftinc and Stamos Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

10425 Fair Oaks Blvd
Ste 203
Fair Oaks, CA 95628
Phone (916) 966-1751

2525 K St
Ste 106
Sacramento, CA 95816
Phone (916) 441-3925

Organizations & group practices 3

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1437487808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 OAK HILL WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614017",
            "telephone_number": "408-250-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E BIDWELL ST STE 400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-4591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Pfeiffer Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951201625",
            "country_code": "US",
            "telephone_number": "408-250-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Oak Hill Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614017",
            "country_code": "US",
            "telephone_number": "408-250-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10425 Fair Oaks Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956287559",
            "country_code": "US",
            "telephone_number": "916-966-1751",
            "fax_number": "916-966-8513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 K St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165114",
            "country_code": "US",
            "telephone_number": "916-441-3925",
            "fax_number": "916-441-2855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58892",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.