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Deactivated NPI 1538211891 Deactivated / Inactive NPI Female Practitioner

Sandra Myers

Dentist • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Myers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2007
NPI Deactivation Date December 06, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Sandra Myers was a registered Dentist practicing in Minneapolis, MN. Throughout an active medical career spanning 11 years, Sandra Myers provided care at the practice location at 515 DELAWARE ST SE until profile deactivation on 2018-12-06.

Practice Location & Contact Primary Location

Practice Address

515 Delaware St Se

Minneapolis, MN 554550357

Telephone 6126265844
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
242 Specialists

Practicing in Minneapolis, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 10935

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Rajaram Gopalakrishnan , DDS

Dentist - Oral and Maxillofacial Pathology

NPI 1134230022

Doctor of Dental Surgery

Mansur Ahmad

Dentist - Oral and Maxillofacial Radiology

NPI 1235281502
NPI 1386717130
Dr. Michael Rohrer , DDS

Dentist - Oral and Maxillofacial Pathology

NPI 1427169317

Doctor of Dental Surgery

Dr. Ioannis Koutlas , DDS

Dentist - Oral and Maxillofacial Pathology

NPI 1447361332

Doctor of Dental Surgery

NPI 1538211727

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 06, 2018

Record deactivated on December 06, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126265844)

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Updated Business Mailing Address July 08, 2007

Registered at 2353 YOUNGMAN AVE, APT. 507, SAINT PAUL, MN 551163063

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA MYERS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #10935 in MN)

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Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538211891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 08, 2007
Deactivation Date: December 06, 2018

Mailing Address

2353 Youngman Ave, Apt. 507

Saint Paul, MN 551163063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.