Active NPI
Joseph William Myers, DMD
- General Practice Dentistry
- Fort Duchesne, UT
National Provider Identifier
1942396643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5345586-9921
- Practice address
- 6822 East 1000 South
Fort Duchesne PHS Indian Health Center
Fort Duchesne, UT 84026 - Phone
- (435) 725-6874
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5345586-9921 | UT | Primary |
Addresses
Primary practice location
6822 East 1000 South
Fort Duchesne PHS Indian Health Center
Fort Duchesne, UT 84026
Mailing address
6822 East 1000 South
Fort Duchesne, UT 84026
Phone (435) 725-6874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700000000009 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myers Family Dental LLC | Current | Accepting new patients | |
| Paiute Indian Tribe of Utah | Past | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS&Mntal HLTH Adm | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Circleville, UT
- NPI 1154937258
-
- Federal Public Health Clinic/Center
- Fort Duchesne, UT
- NPI 1508887993
-
- Dental Clinic/Center
- Cedar City, UT
- NPI 1942693213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1942396643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"address_2": "FORT DUCHESNE PHS INDIAN HEALTH CENTER",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "5345586-9921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700000000009",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Duchesne, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.