Individual provider Active NPI

William Thomas Merriman, D.C.

  • Chiropractor
  • Lafayette, CA
National Provider Identifier
1407879935
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30191 Issued in CA
Practice address
3708 Mt Diablo Blvd
Suite 110
Lafayette, CA 94549-3631
Phone
(925) 283-8900
Fax
(925) 283-6981
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30191 CA Primary

Addresses

Primary practice location

3708 Mt Diablo Blvd
Suite 110
Lafayette, CA 94549-3631

Mailing address

3708 Mt Diablo Blvd
Suite 110
Lafayette, CA 94549-3631
Phone (925) 283-8900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 30191CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Ambrosino, D.P.M., Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1407879935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 MT DIABLO BLVD",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493631",
            "telephone_number": "925-283-8900",
            "fax_number": "925-283-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 MT DIABLO BLVD",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493631",
            "telephone_number": "925-283-8900",
            "fax_number": "925-283-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.