Active NPI
Christopher K Merkley, D.M.D.
- General Practice Dentistry
- Justin, TX
National Provider Identifier
1225414345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33946
- Practice address
- 17074 FM 156 S
Justin, TX 76247-8704 - Phone
- (214) 254-3763
- Fax
- (214) 254-2768
- NPI assigned
- Jul 31, 2015
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4689 | ID | |
| General Practice Dentistry | 1223G0001X | 33946 | TX | Primary |
Addresses
Primary practice location
17074 FM 156 S
Justin, TX 76247-8704
Mailing address
6958 Nebraska Ave BLDG 1608
Fort Leonard Wood, MO 65473-1618
Phone (573) 596-0364
Other practice location 1
6958 Nebraska Ave Bldg 1608
Fort Leonard Wood, MO 65473-1618
Phone (573) 596-0364
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 |
|---|---|---|---|
| 4689 | ID | MD | Dentist |
| 33946 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Dental PLLC | Current | Accepting new patients |
Locations
17074 FM 156 S
Justin, TX 76247
Phone (214) 254-3763
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1225414345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6958 NEBRASKA AVE BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654731618",
"telephone_number": "573-596-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17074 FM 156 S",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762478704",
"telephone_number": "214-254-3763",
"fax_number": "214-254-2768"
}
],
"practiceLocations": [
{
"address_1": "6958 Nebraska Ave Bldg 1608",
"address_purpose": "LOCATION",
"city": "Fort Leonard Wood",
"state": "MO",
"postal_code": "654731618",
"country_code": "US",
"telephone_number": "573-596-0364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERKLEY",
"first_name": "CHRISTOPHER",
"middle_name": "K",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "4689",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.