Individual provider Active NPI

Kenneth L Merritt Jr., DDS

  • Dentist
  • Hendersonville, NC
National Provider Identifier
1144394123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5514 Issued in NC
Practice address
687 B Blythe St CT
Hendersonville, NC 28791
Phone
(828) 692-6226
Fax
(828) 692-6221
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5514 NC Primary

Addresses

Primary practice location

687 B Blythe St CT
Hendersonville, NC 28791

Mailing address

687 B Blythe St CT
Hendersonville, NC 28791
Phone (828) 692-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160226000972 NC Order and Referring Only - DentistPractitioner - Dentist 8022313154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5514NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard H Furman Jr, DMD, PLLC PastSince Aug 28, 2022 Accepting new patients

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144394123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 B BLYTHE ST CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-692-6226",
            "fax_number": "828-692-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 B BLYTHE ST CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-692-6226",
            "fax_number": "828-692-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.