Active NPI
Andrew Q Myers, DDS
- Endodontics
- Oyster Bay, NY
National Provider Identifier
1790822047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0330321
- Practice address
- 216 South St.
Oyster Bay, NY 11771 - Phone
- (516) 955-5888
- Fax
- (516) 922-5897
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0330321 | NY | Primary |
Addresses
Primary practice location
216 South St.
Oyster Bay, NY 11771
Mailing address
216 South St.
Oyster Bay, NY 11771
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 |
|---|---|---|---|
| 0330321 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Dental Arts LLP | Past | Accepting new patients | |
| Corbin Dental, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Huntington Station, NY
- NPI 1144612748
-
- Periodontics
- Oyster Bay, NY
- NPI 1417965211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790822047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 SOUTH ST.",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "11771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SOUTH ST.",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "11771",
"telephone_number": "516-955-5888",
"fax_number": "516-922-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ANDREW",
"middle_name": "Q",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "0330321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.