Individual provider Active NPI

Richard W Merritt, DC

  • Chiropractor
  • Dothan, AL
National Provider Identifier
1124219951
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2541 Issued in FL
Practice address
1001 Tate Dr
Dothan, AL 36301-4334
Phone
(334) 446-3101
Fax
(334) 446-6237
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2541 FL Primary

Addresses

Primary practice location

1001 Tate Dr
Dothan, AL 36301-4334

Mailing address

1253 W Memorial Blvd
Lakeland, FL 33815-0602
Phone (863) 687-8165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002284 AL Practitioner - ChiropracticPractitioner - Other (Physician) 8123155728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merritt Chiropractic Center, P.C.Group PAC ID 5890104152, 2 clinicians

Practice addresses (Care Compare)

1001 Tate Dr
Dothan, AL 36301-4334
Phone (334) 446-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH2541FLMDChiropractor
1758ALMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Chiropractic Center, P.C. CurrentSince Jun 1, 2021 Accepting new patients

Locations

1001 Tate Dr
Dothan, AL 36301
Phone (334) 446-3101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1124219951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 W MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150602",
            "telephone_number": "863-687-8165",
            "fax_number": "863-687-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TATE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014334",
            "telephone_number": "334-446-3101",
            "fax_number": "334-446-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.