Kristina M Merriman, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

00010429 Issued in WA

Practice address

16810 Meridian E Ste J107
Puyallup, WA 98375-9604

Phone

(253) 848-7777

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Washington Dental Corporation PC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1114324795
  NPD (past)
• Washington Dental Corporation, PC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1417384348
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154423259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 BROWNS POINT BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98422",
            "telephone_number": "253-334-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 MERIDIAN E STE J107",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759604",
            "telephone_number": "253-848-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Hoff St Bldg 9240",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-4530",
            "fax_number": "706-544-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE10429",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "00010429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Ave Massage PLLC
• Meridian Bone Density Specialist
• Meridian Chiropractic and Wellness Center LLC
• Mermaid Cove Massage & Wellness, LLC
• Stacy Lynne Merrifield, DO
• Cassandra Merritt
• Krista Beth Mertens, OT
• Merwin Chiropractic Inc
• Leslie Mark Merwin, CHIROPRACTOR
• Daniel Zacarias Messiter

• All providers in Puyallup, WA
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.