Sandra Merrill, D.M.D.,M.S.,P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3585 Issued in NC

Practice address

331 Indian Trail Rd., N
Indian Trail, NC 28079

Phone

(704) 684-0195

Fax

(704) 684-0198

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• DRS. Ganglani, Johal, Dunning & Associates PLLC, II

  dba Fresh Dental

  • Dentist
  • Indian Trail, NC
  • NPI 1518327634
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144336959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 INDIAN TRAIL ROAD N",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-684-0195",
            "fax_number": "704-684-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 INDIAN TRAIL RD., N",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-684-0195",
            "fax_number": "704-684-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "SANDRA",
        "credential": "D.M.D.,M.S.,P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899013J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Jon McPheron, OD
• Medcare Clinic & Pharmacy LLC (Medcare Pharmacy)
• Medtek Solutions, LLC
• Karin Mekhaeil
• Alex Mendoza
• Sarah Merriman
• Camden Clarice Messier, FNP-C
• Lisbeth Davila Mijangos, NP
• Mila Therapy Services PLLC
• Millenia Health and Wellness

• General Practice Dentistry in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.