Organization Active NPI

Jeffrey V. Merrifield, D.D.S., Inc.

  • Endodontics
  • San Jose, CA
National Provider Identifier
1295892115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18736 Issued in CA
Legal business name
JEFFREY V. MERRIFIELD, D.D.S., INC.
Practice address
2664 Berryessa Rd Ste 116
San Jose, CA 95132-2906
Phone
(408) 849-5333
Fax
(408) 929-5780
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeff Merrifield, D.D.S.
Title
Prestreas
Phone
(408) 849-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 18736 CA Primary

Addresses

Primary practice location

2664 Berryessa Rd Ste 116
San Jose, CA 95132-2906

Mailing address

2664 Berryessa Rd Ste 116
San Jose, CA 95132-2906
Phone (408) 849-5333

Other identifiers 1

IdentifierTypeStateIssuer
18736OtherCASTATE DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2664 Berryessa Rd
Ste 116
San Jose, CA 95132
Phone (408) 263-6386

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295892115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322906",
            "telephone_number": "408-849-5333",
            "fax_number": "408-929-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322906",
            "telephone_number": "408-849-5333",
            "fax_number": "408-929-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY V. MERRIFIELD, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRIFIELD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESTREAS",
        "authorized_official_telephone_number": "408-849-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "18736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "18736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.