Audra Dee Myers, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9280 Issued in CO

Practice address

101 Bodin Cir
Travis Afb, CA 94535-1809

Phone

(707) 423-3000

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1902028285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "AUDRA",
        "middle_name": "DEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00009280",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00009280",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "9280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audra.d.myers.mil@mail.mil",
            "affiliation": "N",
            "address_1": "194 Missile Ave",
            "city": "Minot AFB",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587055024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audra.d.myers.mil@mail.mil",
            "affiliation": "N",
            "address_1": "194 Missile Ave",
            "city": "Minot AFB",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587055024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audra.d.myers.mil@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "92d Medical Group",
            "address_2": "701 Hospital Loop, Suite 350",
            "city": "Fairchild AFB",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "audra.d.myers.mil@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "92d Medical Group",
            "address_2": "701 Hospital Loop, Suite 350",
            "city": "Fairchild AFB",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Omar P Mulla, MD
• Kevin Paul Mulligan, PSY.D.
• Jenny Jasbir Multani, M.D.
• Corey Munro
• Daniel Hugh Murray, M.D., M.P.H.
• David Jonathan Myers, M.D.
• National Vision, Inc.
• Michael Gene Neilson, DMD
• Gregg Bradley Nelson
• Gregory Clifford Nelson, P.A.

• Periodontics in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.