NPIMap

Organization Active NPI

David W Merrell DDS MSD PLC

Doing business as West End Pediatric Dentistry

  • Pediatric Dentistry
  • Richmond, VA
National Provider Identifier
1144627555
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401413933 Issued in VA
Legal business name
DAVID W MERRELL DDS MSD PLC
Doing business as
West End Pediatric Dentistry
Practice address
12205 Gayton Road
Suite a
Richmond, VA 23238-3212
Phone
(804) 741-1400
Fax
(804) 741-7700
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. David W Merrell, DDS, MSDNPI 1285913343
Title
Pediatric Dentist
Phone
(804) 741-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401413933 VA Primary

Addresses

Primary practice location

12205 Gayton Road
Suite a
Richmond, VA 23238-3212

Mailing address

12205 Gayton Road
Suite a
Richmond, VA 23238-3212
Phone (804) 741-1400

Other identifiers 1

IdentifierTypeStateIssuer
9178644MedicaidVA

Other names 1

  • West End Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12205 Gayton Rd
Ste A
Richmond, VA 23238
Phone (804) 741-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1144627555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 GAYTON ROAD",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400",
            "fax_number": "804-741-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 GAYTON ROAD",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400",
            "fax_number": "804-741-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W MERRELL DDS MSD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "804-741-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.