Organization Active NPI

Merritt Chiropractic, PA

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1356469035
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6314 Issued in TX
Legal business name
MERRITT CHIROPRACTIC, PA
Practice address
2005 Broadway St
Lubbock, TX 79401-3019
Phone
(806) 744-3800
Fax
(806) 744-4210
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Cotton Dudley Merritt, D.C.NPI 1538156096
Title
Owner
Phone
(806) 744-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6314 TX Primary

Addresses

Primary practice location

2005 Broadway St
Lubbock, TX 79401-3019

Mailing address

2005 Broadway St
Lubbock, TX 79401-3019
Phone (806) 744-3800

Other identifiers 4

IdentifierTypeStateIssuer
186014OtherTXHMO BLUE
5630614OtherTXAETNA
0199790OtherTXDEPT OF LABOR & INDUSTRIE
8F3860OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000101 TX Part B Supplier - Clinic/Group Practice 2769643378 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

2005 Broadway
Lubbock, TX 79401
Phone (806) 744-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1356469035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013019",
            "telephone_number": "806-744-3800",
            "fax_number": "806-744-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013019",
            "telephone_number": "806-744-3800",
            "fax_number": "806-744-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "COTTON",
        "authorized_official_middle_name": "DUDLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-744-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "186014",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5630614",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0199790",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F3860",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.