Individual provider Active NPI

Lisa Elizabeth Meyers, D.D.S.

  • Dentist
  • Westerville, OH
National Provider Identifier
1649400557
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023092 Issued in OH
Practice address
574 N State St
Suite a
Westerville, OH 43082-6058
Phone
(614) 890-2522
Fax
(614) 882-2931
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023092 OH Primary

Addresses

Primary practice location

574 N State St
Suite a
Westerville, OH 43082-6058

Mailing address

574 N State St
Suite a
Westerville, OH 43082-6058
Phone (614) 890-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150528001013 OH Order and Referring Only - DentistPractitioner - Dentist 5092035378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023092OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1649400557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 N STATE ST",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826058",
            "telephone_number": "614-890-2522",
            "fax_number": "614-882-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 N STATE ST",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826058",
            "telephone_number": "614-890-2522",
            "fax_number": "614-882-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "LISA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.