Paul Juel Meyer

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D1145 Issued in SD

Practice address

105 22ND Ave
Brookings, SD 57006-2653

Phone

(605) 692-7511

NPI assigned

Apr 11, 2016

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Paul J Meyer PC

  dba Meyer Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brookings, SD
  • NPI 1144865270
  NPD Authorized official
• Dr. David M. Meyer, PC

  dba Meyer Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brookings, SD
  • NPI 1710107727
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1932563319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062653",
            "telephone_number": "605-692-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062653",
            "telephone_number": "605-692-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "SD",
            "postal_code": "570423200",
            "country_code": "US",
            "telephone_number": "605-256-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PAUL",
        "middle_name": "JUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "D1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L Meighan
• Adam Joseph Melstrom, ATC
• Sara Menning, PHARMD
• David Marvin Meyer, DDS
• Janet Meyer
• Midwest Vascular Institute Inc
• Chelsea Leah Miles, ATC
• Elizabeth Ann Milton, MS
• Jonathan Taylor Mochel, DO
• Trisha J Morehouse, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Brookings, SD
• Providers in Brookings, SD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.