Individual provider Active NPI

Taylor Merklein, DDS

  • Dentist
  • Atchison, KS
National Provider Identifier
1336529643
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61166 Issued in KS
Practice address
111 N 5TH St
Atchison, KS 66002-2406
Phone
(913) 367-0212
Fax
(913) 367-0245
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61166 KS Primary

Addresses

Primary practice location

111 N 5TH St
Atchison, KS 66002-2406

Mailing address

111 N 5TH St
Atchison, KS 66002-2406
Phone (913) 367-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001849 KS Order and Referring Only - DentistPractitioner - Dentist 5698144046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atchison Dental Associates PA Past Accepting new patients
Atchison Dental Associates 2 PA Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Achc-LeavenworthLeavenworth, KS, CCN 171032 Federally qualified health center Other Feb 1, 2022
Achc-TopekaTopeka, KS, CCN 171035 Federally qualified health center Other Feb 1, 2022
Achc Primary Medical Service SiteAtchison, KS, CCN 171043 Federally qualified health center Other Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1336529643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 5TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022406",
            "telephone_number": "913-367-0212",
            "fax_number": "913-367-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 5TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022406",
            "telephone_number": "913-367-0212",
            "fax_number": "913-367-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLEIN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.