Individual provider Active NPI

Taylor McGraw Mercke, DMD

  • Dentist
  • Pensacola, FL
National Provider Identifier
1134535875
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20726 Issued in FL
Practice address
5710 N Davis Hwy
Unit One
Pensacola, FL 32503-2088
Phone
(850) 505-0500
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20726 FL Primary

Addresses

Primary practice location

5710 N Davis Hwy
Unit One
Pensacola, FL 32503-2088

Mailing address

5710 N Davis Hwy
Unit One
Pensacola, FL 32503-2088
Phone (850) 505-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150716003127 FL Order and Referring Only - DentistPractitioner - Dentist 9436462645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1134535875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 N DAVIS HWY",
            "address_2": "UNIT ONE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032088",
            "telephone_number": "850-505-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 N DAVIS HWY",
            "address_2": "UNIT ONE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032088",
            "telephone_number": "850-505-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCKE",
        "first_name": "TAYLOR",
        "middle_name": "MCGRAW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.