Meyers-Folsom Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005292 Issued in WA

Legal business name

MEYERS-FOLSOM DENTAL CLINIC

Practice address

1336 5TH St
Clarkston, WA 99403-3314

Phone

(509) 758-5011

Fax

(509) 751-9125

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Cari E Meyers

Title

Authorized Official

Phone

(509) 758-5011

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Robert M. Meyers DDS & Reid A. Folsom DDS PLLC Former legal business name

Locations

Practitioners 5

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

• Ryan Samuel Adams, DMD

  • General Practice Dentistry
  • Clarkston, WA
  • NPI 1851085682
  NPD (past)
• Reid Alan Folsom, D.D.S.

  • Dentist
  • Clarkston, WA
  • NPI 1679672224
  NPD (past)
• Robert M Meyers Sr., D.D.S.

  • Dentist
  • Clarkston, WA
  • NPI 1649379207
  NPD (past)
• Zachary Robert Meyers, DDS

  • Dentist
  • Clarkston, WA
  • NPI 1558848002
  NPD (past)
• Jiahui Qi

  • Dentist
  • Clarkston, WA
  • NPI 1104526995
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1740434125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033314",
            "telephone_number": "509-758-5011",
            "fax_number": "509-751-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033314",
            "telephone_number": "509-758-5011",
            "fax_number": "509-751-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERS-FOLSOM DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "509-758-5011"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007018",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5021787",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE00007440",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE60882146",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE00005292",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert M. Meyers DDS & Reid A. Folsom DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Robert M. Meyers DDS & Reid A. Folsom DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Belinda Mellaci
• Lucilla Mendoza, MSW
• John Floyd Merrill, D.O.
• Kimberly Kaye Merrill, RPH
• Elizabeth N Messinger, AM
• Robert M Meyers Sr., D.D.S.
• Zachary Robert Meyers, DDS
• Michael Minick, MD
• Karen M Monroe, OTR/L
• Enrique C Montana, M.D.

• Dentist in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.