Michael Meru, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8255897-9921 Issued in UT

Practice address

7632 Campus View Dr Ste 150
West Jordan, UT 84084-5542

Phone

(801) 282-4142

NPI assigned

Mar 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Jordan Modern Dentistry , LLP

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1508134412
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1922374222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SAN CARLOS DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201820",
            "telephone_number": "805-279-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 CAMPUS VIEW DR STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845542",
            "telephone_number": "801-282-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERU",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "8255897-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Memmott, LCSW
• Kashif A Memon, MD
• Sabrina Menezes
• Sydney Merrill
• Zachary Merrill, PHARMD
• Sheri E Meyer, OD
• Michael L Taylor Anesthesiology PLLC
• Gary F Michaels
• Microculture, Inc.
• Sarah Jane Midgley

• Orthodontics and Dentofacial Orthopedics Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.