Timothy C Merrick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0068701 Issued in NY

Practice address

567 3Rd Ave
Alive & Well Chiropractic
New York, NY 10016-3169

Phone

(212) 661-7744

Fax

(212) 661-5683

NPI assigned

Aug 22, 2005

Last updated

Jun 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1346232659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 3RD AVE",
            "address_2": "ALIVE & WELL CHIROPRACTIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163169",
            "telephone_number": "212-661-7744",
            "fax_number": "212-661-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 3RD AVE",
            "address_2": "ALIVE & WELL CHIROPRACTIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163169",
            "telephone_number": "212-661-7744",
            "fax_number": "212-661-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0068701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "C068702B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Merriam, M.D.
• Merrick Massage Therapy PC
• Kareem Jumar Merrick, D.D.S.
• Leon T. Merrick
• Samuel Thompson Merrick, M.D.
• Amanda Merrifield
• Catherine A Merrill, PA-C
• Charles H Merrill, PSY.D.
• David B. Merrill, M.D.
• Eve Merrill, M.D.

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.