Active NPI
Dennis Lee Myers, C.P.O.
- Prosthetist
- Anaheim, CA
National Provider Identifier
1952463754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1665 W Katella Ave
Suite B
Anaheim, CA 92802-3053 - Phone
- (714) 342-0833
- Fax
- (714) 778-4080
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CA | Primary |
Addresses
Primary practice location
1665 W Katella Ave
Suite B
Anaheim, CA 92802-3053
Mailing address
9912 Beverly LN
Garden Grove, CA 92841-3839
Phone (714) 590-2241
Other names 1
- Mr. Dennis Lee Myers
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BUS200303320 | CA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952463754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9912 BEVERLY LN",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413839",
"telephone_number": "714-590-2241",
"fax_number": "714-636-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 W KATELLA AVE",
"address_2": "SUITE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928023053",
"telephone_number": "714-342-0833",
"fax_number": "714-778-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "DENNIS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENNIS",
"last_name": "MYERS",
"middle_name": "LEE",
"prefix": "MR.",
"credential": "C.P.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.