Springfield Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30.023909 Issued in OH

Legal business name

SPRINGFIELD PEDIATRIC DENTISTRY

Practice address

2200 Olympic Street
Springfield, OH 45503

Phone

(937) 568-7007

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Myers, DDSNPI 1295023166

Title

Pediatric Dentist

Phone

(937) 568-7007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrea M Myers, D.D.S.

  • Pediatric Dentistry
  • Springfield, OH
  • NPI 1295023166
  NPD (past) Authorized official

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1811333792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OLYMPIC STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45503",
            "telephone_number": "937-568-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OLYMPIC STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45503",
            "telephone_number": "937-568-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "937-568-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.023909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Infectious Diseases LLC
• Springfield Masonic Community (Springfield Masonic Community - Laboratory)
• Springfield Metropolitan Housing Authority
• Springfield Opco, LLC (Arbors at Springfield)
• Springfield Orthopaedic and Sports Medicine Institute LLC
• Springfield Physical Therapy Inc
• Springfield Preparatory & Fitness Academy
• Springfield Primary Healthcare Services, LLC
• Springfield Psychiatric Associates Inc (Springfield Psychiatric Associates)
• Springfield Pulmonary Inc

• Pediatric Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.