Active NPI
Marvin J Merrit, DC
- Chiropractor
- Pompano Beach, FL
National Provider Identifier
1043430697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004983
- Practice address
- 1433 SW 26TH Ave
Pompano Beach, FL 33069-4315 - Phone
- (954) 968-4144
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004983 | FL | Primary |
Addresses
Primary practice location
1433 SW 26TH Ave
Pompano Beach, FL 33069-4315
Mailing address
1000 E Atlantic Blvd
Ste 111
Pompano Beach, FL 33060-7447
Phone (954) 968-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650930328 | Other | FL | TAX ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0004983 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1043430697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E ATLANTIC BLVD",
"address_2": "STE 111",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607447",
"telephone_number": "954-968-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 SW 26TH AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694315",
"telephone_number": "954-968-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIT",
"first_name": "MARVIN",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "650930328",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.