Active NPI
Edwin M Myers, DDS
- General Practice Dentistry
- Independence, MO
National Provider Identifier
1679546154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13974
- Practice address
- 18110 E 24 Hwy
Independence, MO 64056-1170 - Phone
- (816) 796-9366
- Fax
- (816) 796-9797
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13974 | MO | Primary |
Addresses
Primary practice location
18110 E 24 Hwy
Independence, MO 64056-1170
Mailing address
18110 E 24 Hwy
Independence, MO 64056-1170
Phone (816) 796-9366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10150018 | Other | MO | BLUE CROSS BLUE SHIELD |
| 483652 | Other | PA | UNITED CONCORDIA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13974 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1679546154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18110 E 24 HWY",
"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 24 HWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640561170",
"telephone_number": "816-796-9366",
"fax_number": "816-796-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "EDWIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "13974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10150018",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "483652",
"state": "PA"
}
],
"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 Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.