Jeremiah D. Patrick, D.M.D., P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JEREMIAH D. PATRICK, D.M.D., P.A.

Practice address

207 Pelham Rd
Fort Walton Beach, FL 32547-3604

Phone

(850) 808-3636

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah Daniel Patrick, DMDNPI 1841845161

Title

Ceo

Phone

(850) 808-3636

Specialties & licenses 1

Addresses

Other names 1

• Patrick Endodontics Doing business as

Locations

Practitioners 3

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

• Jeremiah Daniel Patrick, DMD

  • Endodontics
  • Fort Walton Beach, FL
  • NPI 1841845161
  NPD Authorized official
• Arthur Merkle, DMD

  • Pediatric Dentistry
  • Fort Walton Beach, FL
  • NPI 1083892038
  NPD (past)
• Carol B Merkle, DMD

  • Endodontics
  • Fort Walton Beach, FL
  • NPI 1538347570
  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1154096097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PELHAM RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473604",
            "telephone_number": "850-808-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PELHAM RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473604",
            "telephone_number": "850-808-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH D. PATRICK, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-808-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason W Thackeray MD PA
• Miranda Jatindranath, PT, DPT
• Shantel Jay-Peterson, ITDS
• Jean Woo, DDS, P.a.
• Jennifer R Goette OD PA
• Devon N Jernigan, PT, DPT
• Carl S Jerome, D.C.
• Jerzy Grzebieluch, MD, LLC
• Philip Frank Alain Jessen, APRN
• Christian Jimenez, DMD

• Endodontics in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.