Individual provider Active NPI

Ellaine Williams Myers, DDS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1861555351
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN100385 Issued in DC
Practice address
850 Delaware Ave SW
Washington, DC 20024-4208
Phone
(202) 548-4562
NPI assigned
Dec 18, 2006
Last updated
Aug 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN100385 DC Primary

Addresses

Primary practice location

850 Delaware Ave SW
Washington, DC 20024-4208

Mailing address

1220 12TH St SE
Suite 120
Washington, DC 20003-3722
Phone (202) 548-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322000715 DC Practitioner - Dentist 5799083283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN100385DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Feb 11, 2024 Accepting new patients
Unity Health Care Inc. CurrentSince Feb 11, 2024 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

850 Delaware Ave SW
Washington, DC 20024
Phone (202) 548-4520

Interoperability endpoints

  • Direct secure messaging: ellaine.myers@uhci.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1861555351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE",
            "address_2": "SUITE 120",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033722",
            "telephone_number": "202-548-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DELAWARE AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244208",
            "telephone_number": "202-548-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ELLAINE",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN100385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.