Tyler Merritt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN24872 Issued in FL

Practice address

5012 Highway 90
Pace, FL 32571-1504

Phone

(850) 304-0874

NPI assigned

Apr 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castillo Dental PLLC

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1548003726
  NPD (past)
• Comfortable Care Dental Health Professionals, P.a.

  • General Practice Dentistry
  • Pace, FL
  • NPI 1598245391
  NPD (past)
• Village Oaks Dental, PLLC

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1831858950
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1306465265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 19TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711504",
            "telephone_number": "850-304-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanice M McLeary, PHARMD
• Elizabeth Lynne McMurtrie, APRN
• Zachary McQuaid, FNP-C
• Med South, Inc.
• Noelle Cavalier Melton, LCSW
• Thomas Vernon Messe, M.D.
• Michelle S Page MD PA
• Dalton Dean Miller
• Katy Louise Miller, APRN
• Melissa E Miller, LMT

• Dentist in Pace, FL
• Providers in Pace, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.