Kenneth Charles Myers, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18536 Issued in OH

Practice address

223 W Main St
Woodville, OH 43469-1136

Phone

(419) 849-2641

Fax

(419) 849-2194

NPI assigned

Apr 3, 2007

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 OH

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

State licenses

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.

• Hayder Al Janabi DMD Family Dentistry LLC

  • Dental Clinic/Center
  • Woodville, OH
  • NPI 1285409839
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982725354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434691136",
            "telephone_number": "419-849-2641",
            "fax_number": "419-849-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434691136",
            "telephone_number": "419-849-2641",
            "fax_number": "419-849-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Lynn Less, LPN
• Kathleen Lowery, RPH
• Elizabeth Ann Lucas
• Linda Meyer
• Nicole M Molina
• Lon H Nitschke, DC
• Nichole Lin Nitschke, LPCC
• Northwest Ohio Primary Care Physicians, Inc.
• Peak Physical Therapy LLC
• Marcia M Reed, BSN, RN, CRRN

• Dentist in Woodville, OH
• Providers in Woodville, OH by specialty
• Dentist in Ohio

• 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.
• 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.