Individual provider Active NPI

Jayme Beth Meyer, DMD

  • General Practice Dentistry
  • Lebanon Junction, KY
National Provider Identifier
1619460466
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10105 Issued in KY
Practice address
11737 S Preston Hwy
Lebanon Junction, KY 40150-8420
Phone
(502) 833-4664
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10105 KY Primary

Addresses

Primary practice location

11737 S Preston Hwy
Lebanon Junction, KY 40150-8420

Mailing address

2600 Woodsdale Ave
Louisville, KY 40220-3616
Phone (502) 644-0367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180718002646 KY Order and Referring Only - DentistPractitioner - Dentist 7315294675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1619460466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WOODSDALE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203616",
            "telephone_number": "502-644-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11737 S PRESTON HWY",
            "city": "LEBANON JUNCTION",
            "state": "KY",
            "postal_code": "401508420",
            "telephone_number": "502-833-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JAYME",
        "middle_name": "BETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon Junction, KY

Sources for this page

Verify at the official NPI Registry.