NPIMap

Organization Active NPI

Merit Dental Inc

Doing business as Merit Dental Sinking Springs

  • Dentist
  • Sinking Spring, PA
National Provider Identifier
1194311068
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MERIT DENTAL INC
Doing business as
Merit Dental Sinking Springs
Practice address
803 Mountain Home Rd
Sinking Spring, PA 19608-9319
Phone
(610) 678-2777
Fax
(610) 678-7447
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Brent Althoff
Title
MGR Credentialing
Phone
(715) 203-4689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

803 Mountain Home Rd
Sinking Spring, PA 19608-9319

Mailing address

680 Hehli Way
Mondovi, WI 54755-1639

Other identifiers 1

IdentifierTypeStateIssuer
610-678-2777MedicaidPA

Other names 1

  • Merit Dental Sinking Springs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sinkingspring@meritdental.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Merit Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1194311068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HEHLI WAY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MOUNTAIN HOME RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089319",
            "telephone_number": "610-678-2777",
            "fax_number": "610-678-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ALTHOFF",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MGR CREDENTIALING",
        "authorized_official_telephone_number": "715-203-4689"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610-678-2777",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sinkingspring@meritdental.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "803 Mountain Home Rd",
            "city": "Sinking Spring",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196089319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Merit Dental Sinking Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sinking Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.