Active NPI
Michael W Myers, DMD PC
- Dentist
- Columbus, GA
National Provider Identifier
1801804828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- GA9826
- Practice address
- 6214 Bradley Park Dr
Columbus, GA 31904 - Phone
- (706) 322-8988
- Fax
- (706) 327-2907
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | GA9826 | GA | Primary |
Addresses
Primary practice location
6214 Bradley Park Dr
Columbus, GA 31904
Mailing address
6214 Bradley Park Drive
Columbus, GA 31904
Phone (706) 322-8988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815768 | Other | GA | UNITED CONCORDIA |
| 494040 | Other | GA | BCBS OF GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA9826 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801804828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 BRADLEY PARK DRIVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-322-8988",
"fax_number": "706-327-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6214 BRADLEY PARK DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-322-8988",
"fax_number": "706-327-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "GA9826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "815768",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "494040",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
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.