Individual provider Active NPI

Gregory S. Myers, D.D.S., M.S.

  • Endodontics
  • Solon, OH
National Provider Identifier
1831319409
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21128 Issued in OH
Practice address
6175 Som Center Rd
Suite 150
Solon, OH 44139-2965
Phone
(440) 248-3747
Fax
(440) 248-3776
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 21128 OH Primary

Addresses

Primary practice location

6175 Som Center Rd
Suite 150
Solon, OH 44139-2965

Mailing address

6175 Som Center Rd
Suite 150
Solon, OH 44139-2965
Phone (440) 248-3747

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21128OHMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1831319409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 SOM CENTER RD",
            "address_2": "SUITE 150",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392965",
            "telephone_number": "440-248-3747",
            "fax_number": "440-248-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 SOM CENTER RD",
            "address_2": "SUITE 150",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392965",
            "telephone_number": "440-248-3747",
            "fax_number": "440-248-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.