Active NPI
Timothy R Myers, D.M.D.
- General Practice Dentistry
- Cincinnati, OH
National Provider Identifier
1972677342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-01-7612
- Practice address
- 9346 Main St
Cincinnati, OH 45242-7667 - Phone
- (513) 793-9917
- Fax
- (513) 793-9918
- NPI assigned
- Nov 20, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-01-7612 | OH | Primary |
Addresses
Primary practice location
9346 Main St
Cincinnati, OH 45242-7667
Mailing address
9500 Kenwood Rd
#1
Blue Ash, OH 45242-6180
Phone (513) 793-9917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160413002235 | OH | Order and Referring Only - Other (Non-Physician) | 2062710783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1972677342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 KENWOOD RD",
"address_2": "#1",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426180",
"telephone_number": "513-793-9917",
"fax_number": "513-793-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 MAIN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427667",
"telephone_number": "513-793-9917",
"fax_number": "513-793-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "TIMOTHY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-01-7612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.