Organization Active NPI

Dr. David M. Meyer, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brookings, SD
National Provider Identifier
1710107727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
M507 Issued in SD
Legal business name
DR. DAVID M. MEYER, PC
Practice address
105 22ND Ave
Brookings, SD 57006-2653
Phone
(605) 692-7511
Fax
(605) 692-6957
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Marvin Meyer, D.D.S.NPI 1578651444
Title
Owner
Phone
(605) 692-7511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X M507 SD Primary

Addresses

Primary practice location

105 22ND Ave
Brookings, SD 57006-2653

Mailing address

105 22ND Ave
Brookings, SD 57006-2653
Phone (605) 692-7511

Other names 1

  • Meyer Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

105 22nd Ave
Brookings, SD 57006
Phone (605) 692-7511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710107727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062653",
            "telephone_number": "605-692-7511",
            "fax_number": "605-692-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062653",
            "telephone_number": "605-692-7511",
            "fax_number": "605-692-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID M. MEYER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyer Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.