Active NPI
Jennifer Robin Merritt, DDS
- Periodontics
- Santa Monica, CA
National Provider Identifier
1326216375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 47953
- Practice address
- 1450 10TH St Ste 400
Santa Monica, CA 90401-2831 - Phone
- (310) 458-3384
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 47953 | CA | Primary |
Addresses
Primary practice location
1450 10TH St Ste 400
Santa Monica, CA 90401-2831
Mailing address
1450 10TH St Ste 400
Santa Monica, CA 90401-2831
Phone (310) 458-3384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2018 through Feb 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kzahedi,DDS | Past | Accepting new patients |
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": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1326216375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 10TH ST STE 400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012831",
"telephone_number": "310-458-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 10TH ST STE 400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012831",
"telephone_number": "310-458-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "JENNIFER",
"middle_name": "ROBIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "47953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.