NPIMap

Organization Active NPI

Merit Dental Inc

Doing business as Merit Dental

  • General Practice Dentistry
  • Shamokin Dam, PA
National Provider Identifier
1093173395
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MERIT DENTAL INC
Doing business as
Merit Dental
Practice address
21 Baldwin Blvd
Shamokin Dam, PA 17876-9514
Phone
(570) 743-3300
Fax
(570) 743-7555
NPI assigned
Feb 2, 2016
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Jeffrey Moos, DDSNPI 1992827174
Title
PC Owner
Phone
(715) 926-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

21 Baldwin Blvd
Shamokin Dam, PA 17876-9514

Mailing address

21 Baldwin Blvd
Shamokin Dam, PA 17876-9514
Phone (570) 743-3300

Other names 1

  • Merit Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merit Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21 Baldwin Blvd
Shamokin Dam, PA 17876
Phone (570) 743-3300

Practitioners & affiliated clinicians

Practitioners 1

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1093173395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769514",
            "telephone_number": "570-743-3300",
            "fax_number": "570-743-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769514",
            "telephone_number": "570-743-3300",
            "fax_number": "570-743-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MOOS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "715-926-5050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shamokin Dam, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.