Individual provider Active NPI

Alexis Meyers, DMD

  • Pediatric Dentistry
  • Sewickley, PA
National Provider Identifier
1811359482
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS042038 Issued in PA
Practice address
409 Broad St Ste 101B
Sewickley, PA 15143-1554
Phone
(412) 313-5176
Fax
(412) 588-1538
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS042038 PA Primary

Addresses

Primary practice location

409 Broad St Ste 101B
Sewickley, PA 15143-1554

Mailing address

409 Broad St Ste 101B
Sewickley, PA 15143-1554
Phone (412) 313-5176

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

LicenseStateTypeSpecialty
DS042038PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Untied LLC Pediatric Dentistry Current Accepting new patients
Steel City Pediatric Dentistry LLC Pediatric Dentistry Current Accepting new patients

Locations

409 Broad St
Ste 101B
Sewickley, PA 15143
Phone (412) 313-5176

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1811359482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BROAD ST STE 101B",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431554",
            "telephone_number": "412-313-5176",
            "fax_number": "412-588-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BROAD ST STE 101B",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431554",
            "telephone_number": "412-313-5176",
            "fax_number": "412-588-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.