Active NPI
Raffi Merjik, DMD
- Dentist
- North Scituate, RI
National Provider Identifier
1184739732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20001
- Practice address
- 26 Hartford Pike
North Scituate, RI 02857-1865 - Phone
- (401) 934-2666
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20001 | MA | Primary |
Addresses
Primary practice location
26 Hartford Pike
North Scituate, RI 02857-1865
Mailing address
26 Hartford Pike
North Scituate, RI 02857-1865
Phone (401) 934-2666
Other practice location 1
770 Reservoir Ave
Cranston, RI 02910-4449
Phone (401) 942-0270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201642 | Other | MA | MASS HEALTH PROVIDES # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20001 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cranston Asthetic Dentistry | Past | 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.
-
- General Practice Dentistry
- Cranston, RI
- NPI 1780092460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1184739732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HARTFORD PIKE",
"city": "NORTH SCITUATE",
"state": "RI",
"postal_code": "028571865",
"telephone_number": "401-934-2666",
"fax_number": "401-934-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 HARTFORD PIKE",
"city": "NORTH SCITUATE",
"state": "RI",
"postal_code": "028571865",
"telephone_number": "401-934-2666"
}
],
"practiceLocations": [
{
"address_1": "770 Reservoir Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029104449",
"country_code": "US",
"telephone_number": "401-942-0270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERJIK",
"first_name": "RAFFI",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-03-01",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH PROVIDES #",
"identifier": "0201642",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Scituate, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.