Thomas J Meyering DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19016965 Issued in IL

Legal business name

THOMAS J MEYERING DDS, P.C.

Practice address

10735 S Cicero Ave
Oak Lawn, IL 60453-5400

Phone

(708) 423-4110

Fax

(708) 423-4416

NPI assigned

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Thomas Joseph Meyering, D.D.S.

Title

President

Phone

(708) 423-4110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1902184740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-423-4110",
            "fax_number": "708-423-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-423-4110",
            "fax_number": "708-423-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J MEYERING DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYERING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-423-4110",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19016965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.