Active NPI
Mercedes Antonia Duncan, DMD
- Dentist
- Indian Trail, NC
National Provider Identifier
1013652882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13398
- Practice address
- 6046 W Highway 74
Indian Trail, NC 28079-3591 - Phone
- (704) 893-8126
- Fax
- (704) 893-8127
- NPI assigned
- May 4, 2022
- Last updated
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13398 | NC | Primary |
Addresses
Primary practice location
6046 W Highway 74
Indian Trail, NC 28079-3591
Mailing address
6046 W Highway 74
Indian Trail, NC 28079-3591
Phone (704) 893-8126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13398 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Patel & Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1013652882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 W HIGHWAY 74",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793591",
"telephone_number": "704-893-8126",
"fax_number": "704-893-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 W HIGHWAY 74",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793591",
"telephone_number": "704-893-8126",
"fax_number": "704-893-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MERCEDES",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2024-02-02",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
- DRS. Ganglani, Johal, Dunning & Associates PLLC, II (Fresh Dental)
- Rebecca Ann Dubose
- Jonathan Ducar, B.PHARM
- Logan Rollins Duffy
- Crystal Lynn Duke, MA CCC/SLP
- Rachel Noelle Durban, OTR/L
- Dva Healthcare Renal Care Inc (Crooked Creek Dialysis)
- Eastover Obstetrics and Gynecology Associates Inc (Atrium Health Women's Care Eastover OB/GYN)
- Jon Wayne Eccleston II, LCSW
- Camille Edmond, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.