Active NPI
Katrina Myers, DMD
- Dentist
- Hickory, NC
National Provider Identifier
1801327697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10785
- Practice address
- 2535 US Highway 70 SE Ste 112
Hickory, NC 28602-6005 - Phone
- (828) 267-1400
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35933685 | NC | |
| Dentist | 122300000X | 10785 | NC | Primary |
Addresses
Primary practice location
2535 US Highway 70 SE Ste 112
Hickory, NC 28602-6005
Mailing address
916 Cathedral Dr
Belmont, NC 28012-2870
Phone (704) 390-0933
Other practice location 1
916 Cathedral Dr
Belmont, NC 28012-2870
Phone (704) 390-0933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 6, 2021 through Aug 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35933685 | NC | MD | Dentist |
| 10785 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coafs Lab | Past | Accepting new patients | |
| A. K. Richardson and Asssociates, P.a. | Past | Accepting new patients | |
| A. K. Richardson and Associates, P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Hickory, NC
- NPI 1487804704
-
- General Practice Dentistry
- Hickory, NC
- NPI 1689192635
-
- Oral and Maxillofacial Surgery (Dentist)
- Charleston, SC
- NPI 1679954705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1801327697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 CATHEDRAL DR",
"city": "BELMONT",
"state": "NC",
"postal_code": "280122870",
"telephone_number": "704-390-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 US HIGHWAY 70 SE STE 112",
"city": "HICKORY",
"state": "NC",
"postal_code": "286026005",
"telephone_number": "828-267-1400"
}
],
"practiceLocations": [
{
"address_1": "916 Cathedral Dr",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "NC",
"postal_code": "280122870",
"country_code": "US",
"telephone_number": "704-390-0933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "KATRINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2023-03-28",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "35933685",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.