Organization Active NPI

Stephen Merrell, DMD, PLLC

  • General Practice Dentistry
  • Monroe, NC
National Provider Identifier
1003326513
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8720 Issued in NC
Legal business name
STEPHEN MERRELL, DMD, PLLC
Practice address
1414 E Franklin St
Monroe, NC 28112-5160
Phone
(704) 289-5233
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Merrell, DMD
Title
President
Phone
(954) 309-9952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8720 NC
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8720 NC Primary

Addresses

Primary practice location

1414 E Franklin St
Monroe, NC 28112-5160

Mailing address

1414 E Franklin St
Monroe, NC 28112-5160
Phone (704) 289-5233

National Provider Directory

National Provider Directory

Locations

1414 E Franklin St
Monroe, NC 28112
Phone (704) 289-5233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1003326513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-289-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125160",
            "telephone_number": "704-289-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MERRELL, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-309-9952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8720",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.