Active NPI
Chadwick Thomas Merrell, D.M.D.
- Dentist
- Greensboro, NC
National Provider Identifier
1255350260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7539
- Practice address
- 2516 Oakcrest Ave Ste a
Greensboro, NC 27408-1933 - Phone
- (336) 282-4022
- Fax
- (336) 282-2437
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 31, 2024
- 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 | 7539 | NC | Primary |
Addresses
Primary practice location
2516 Oakcrest Ave Ste a
Greensboro, NC 27408-1933
Mailing address
2516 Oakcrest Ave Ste a
Greensboro, NC 27408-1933
Phone (336) 282-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912000560 | NC | Order and Referring Only - Dentist | 5395031777 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1255350260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 OAKCREST AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274081933",
"telephone_number": "336-282-4022",
"fax_number": "336-282-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 OAKCREST AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274081933",
"telephone_number": "336-282-4022",
"fax_number": "336-282-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRELL",
"first_name": "CHADWICK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.