Individual provider Active NPI

Mitchell Merrill, DDS

  • Dentist
  • Fort Carson, CO
National Provider Identifier
1366124935
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205674 Issued in CO
Practice address
6990 Quinn St BLDG 2356
Fort Carson, CO 80913-4450
Phone
(719) 526-2200
NPI assigned
Aug 3, 2023
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205674 CO Primary

Addresses

Primary practice location

6990 Quinn St BLDG 2356
Fort Carson, CO 80913-4450

Mailing address

1667 Cochrane Cir BLDG 7495
Fort Carson, CO 80913-4603

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitchell.p.merrill.mil@health.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205674COMDDentist

Interoperability endpoints

  • Direct secure messaging: mitchell.p.merrill.mil@health.mil

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1366124935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 COCHRANE CIR BLDG 7495",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990 QUINN ST BLDG 2356",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134450",
            "telephone_number": "719-526-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "MITCHELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchell.p.merrill.mil@health.mil",
            "affiliation": "N",
            "address_1": "6990 Quinn St Bldg 2356",
            "city": "Fort Carson",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809134450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.