Organization Active NPI

Daniel E Mertz DDS Inc

  • Dentist
  • Auburn, CA
National Provider Identifier
1144372590
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38718 Issued in CA
Legal business name
DANIEL E MERTZ DDS INC
Practice address
3205 Professional Dr
Auburn, CA 95602
Phone
(530) 823-6456
Fax
(530) 823-6458
NPI assigned
Jan 17, 2007
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Daniel Eric Mertz, DDS
Title
President
Phone
(530) 823-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38718 CA Primary

Addresses

Primary practice location

3205 Professional Dr
Auburn, CA 95602

Mailing address

3205 Professional Dr
Auburn, CA 95602
Phone (530) 823-6456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1144372590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-823-6456",
            "fax_number": "530-823-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-823-6456",
            "fax_number": "530-823-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E MERTZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-823-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.