Active NPI
Sere S Myers Jr., D.D.S.
- Dentist
- Centennial, CO
National Provider Identifier
1487775318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7433
- Practice address
- 14100 E Arapahoe Rd
Ste. 310
Centennial, CO 80112-4028 - Phone
- (303) 699-5804
- Fax
- (303) 680-2529
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7433 | CO | Primary |
Addresses
Primary practice location
14100 E Arapahoe Rd
Ste. 310
Centennial, CO 80112-4028
Mailing address
14100 E Arapahoe Rd
Ste # 310
Centennial, CO 80112-4028
Phone (303) 699-5804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7433 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487775318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 E ARAPAHOE RD",
"address_2": "STE # 310",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124028",
"telephone_number": "303-699-5804",
"fax_number": "303-680-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 E ARAPAHOE RD",
"address_2": "STE. 310",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124028",
"telephone_number": "303-699-5804",
"fax_number": "303-680-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SERE",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "7433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.