Individual provider Active NPI

William T Myers, D.D.S.

  • Dentist
  • Huntington, WV
National Provider Identifier
1649273608
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WV 2028 Issued in WV
Practice address
1616 13TH Ave Ste 200
Huntington, WV 25701-3840
Phone
(304) 691-1247
Fax
(304) 691-1248
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WV 2028 WV Primary

Addresses

Primary practice location

1616 13TH Ave Ste 200
Huntington, WV 25701-3840

Mailing address

1616 13TH Ave Ste 200
Huntington, WV 25701-3840
Phone (304) 691-1247

Other identifiers 3

IdentifierTypeStateIssuer
WV2028OtherWVWV LICENSE NUMBER
000588343OtherWVUNITED CONCORDIA ID NUMBE
0135759000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.myers@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20031218000539 WV Practitioner - Oral Surgery 2860399896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2028WVMDProfessional Counselor
WV 2028WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 2, 2018 Accepting new patients
University Physicians & Surgeons, Inc Dentist CurrentSince Jul 2, 2018 Accepting new patients
William T. Myers, DDS, Inc Past Accepting new patients

Locations

1616 13th Ave
Ste 200
Huntington, WV 25701
Phone (304) 691-1237

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

Interoperability endpoints

  • Direct secure messaging: william.myers@marshall.cernerdirect.com

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1649273608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1247",
            "fax_number": "304-691-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013840",
            "telephone_number": "304-691-1247",
            "fax_number": "304-691-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV 2028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LICENSE NUMBER",
            "identifier": "WV2028",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID NUMBE",
            "identifier": "000588343",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135759000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.myers@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1616 13th Ave Ste 200",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.