Organization Active NPI

David J Meyers DDS PS

  • General Practice Dentistry
  • Longview, WA
National Provider Identifier
1851408108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE7448 Issued in WA
Legal business name
DAVID J MEYERS DDS PS
Doing business as
Family Dentistry
Practice address
875 Broadway St
Longview, WA 98632-3824
Phone
(360) 423-0120
Fax
(360) 425-6124
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Jay Meyers, DDSNPI 1982711230
Title
President
Phone
(360) 423-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE7448 WA Primary

Addresses

Primary practice location

875 Broadway St
Longview, WA 98632-3824

Mailing address

875 Broadway St
Longview, WA 98632-3824
Phone (360) 423-0120

Other names 1

  • Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

875 Broadway St
Longview, WA 98632
Phone (360) 423-0120

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851408108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BROADWAY ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323824",
            "telephone_number": "360-423-0120",
            "fax_number": "360-425-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BROADWAY ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323824",
            "telephone_number": "360-423-0120",
            "fax_number": "360-425-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J MEYERS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-423-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE7448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.