Blaire Hyde Miers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29994 Issued in TX

Practice address

5540 Old Jacksonville Hwy
Tyler, TX 75703-3378

Phone

(903) 597-2121

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Blaire Elizabeth Hyde Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kent B Boozer DDS PA

  • Pediatric Dentistry
  • Tyler, TX
  • NPI 1508046129
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1437564887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033378",
            "telephone_number": "903-597-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033378",
            "telephone_number": "903-597-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERS",
        "first_name": "BLAIRE",
        "middle_name": "HYDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIRE",
            "last_name": "HYDE",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Michum
• Susan Miday
• Suzanne Middleton
• Nadia Midkiff
• Sarah Dailey Thacker Midkiff
• John Louie Miguez, HEARING SPECIALIST
• Andrew Nelson Mikeska, DO
• Amy Mikhael
• Angela Miles
• Chipo Shekinah Miles

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.