NPIMap

Organization Active NPI

Edwin M. Myers, D.D.S., P.C.

  • Dental Clinic/Center
  • Independence, MO
National Provider Identifier
1457505950
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13974 Issued in MO
Legal business name
EDWIN M. MYERS, D.D.S., P.C.
Practice address
18110 E US Highway 24
Ste. a
Independence, MO 64056-1170
Phone
(816) 796-9366
Fax
(816) 796-9797
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Edwin M Myers, DDSNPI 1679546154
Title
Dentist
Phone
(816) 796-9366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13974 MO Primary

Addresses

Primary practice location

18110 E US Highway 24
Ste. a
Independence, MO 64056-1170

Mailing address

18110 E US Highway 24
Suite a
Independence, MO 64056-1170
Phone (816) 796-9366

Other identifiers 3

IdentifierTypeStateIssuer
031943OtherKSBLUE CROSS BLUE SHIELD
10150018OtherMOBLUE CROSS BLUE SHIELD PROVIDER ID#
483652OtherMOUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

18110 E US Highway 24
Ste A
Independence, MO 64056
Phone (816) 796-9366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1457505950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18110 E US HIGHWAY 24",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561170",
            "telephone_number": "816-796-9366",
            "fax_number": "816-796-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18110 E US HIGHWAY 24",
            "address_2": "STE. A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561170",
            "telephone_number": "816-796-9366",
            "fax_number": "816-796-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN M. MYERS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-796-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "13974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "031943",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER ID#",
            "identifier": "10150018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "483652",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.