Organization Active NPI

Merrill Ranch Family Dental, PLLC

  • Dental Clinic/Center
  • Florence, AZ
National Provider Identifier
1013507391
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MERRILL RANCH FAMILY DENTAL, PLLC
Practice address
3385 N Hunt Hwy Ste 127
Florence, AZ 85132-6922
Phone
(520) 723-0655
Fax
(520) 723-0691
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Bruce Lauren Herr Jr., DDS
Title
Owner/Member
Phone
(520) 723-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3385 N Hunt Hwy Ste 127
Florence, AZ 85132-6922

Mailing address

3385 N Hunt Hwy Ste 127
Florence, AZ 85132-6922
Phone (520) 723-0655

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Florence

National Provider Directory

National Provider Directory

Locations

3385 N Hunt Hwy
Ste 127
Florence, AZ 85132
Phone (520) 723-0655

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1013507391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 N HUNT HWY STE 127",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851326922",
            "telephone_number": "520-723-0655",
            "fax_number": "520-723-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 N HUNT HWY STE 127",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851326922",
            "telephone_number": "520-723-0655",
            "fax_number": "520-723-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL RANCH FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "520-723-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Florence",
            "affiliation": "N",
            "address_1": "3385 N Hunt Hwy Ste 127",
            "city": "Florence",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851326922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.