Active NPI
Ray Merrill III, D.M.D.
- General Practice Dentistry
- Pleasant Grove, AL
National Provider Identifier
1245348663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4393
- Practice address
- 901 4TH St
Pleasant Grove, AL 35127-1060 - Phone
- (205) 744-8890
- NPI assigned
- Aug 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4393 | AL | Primary |
Addresses
Primary practice location
901 4TH St
Pleasant Grove, AL 35127-1060
Mailing address
PO Box 207
Pleasant Grove, AL 35127-0207
Phone (205) 744-8890
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 |
|---|---|---|---|
| 4393 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245348663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "PLEASANT GROVE",
"state": "AL",
"postal_code": "351270207",
"telephone_number": "205-744-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 4TH ST",
"city": "PLEASANT GROVE",
"state": "AL",
"postal_code": "351271060",
"telephone_number": "205-744-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "RAY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, AL
- Dorothy Lavender
- Legacy Health and Rehabilitation of Pleasant Grove, LLC
- London'S Touch (Little Einsteins)
- Judy Mallah
- Marwan Marzok Ismail
- Mills Pharmacy at Pleasant Grove LLC (Mills Pharmacy at Pleasant Grove)
- Myluma Health and Wellness LLC
- Patrice Banks Patton, OTR/L
- Pleasant Grove Drugs Inc.
- Pleasant Grove Nursing and Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.