Individual provider Active NPI

Katrina Myers, DMD

  • Dentist
  • Hickory, NC
National Provider Identifier
1801327697
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10785 Issued in NC
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

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
35933685NCMDDentist
10785NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coafs Lab Past Accepting new patients
A. K. Richardson and Asssociates, P.a. PastSince Apr 6, 2023 Accepting new patients
A. K. Richardson and Associates, P.a. Dentist PastSince Apr 6, 2023 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.

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

Verify at the official NPI Registry.