Individual provider Active NPI

Joseph Andre Merai Jr., DMD

  • General Practice Dentistry
  • Salisbury, MD
National Provider Identifier
1427474519
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15895 Issued in MD
Practice address
1346 S Division St Ste 104
Salisbury, MD 21804-7021
Phone
(410) 749-0108
NPI assigned
Mar 13, 2014
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15895 MD
General Practice Dentistry 1223G0001X 15895 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1346 S Division St Ste 104
Salisbury, MD 21804-7021

Mailing address

1346 S Division St
Suite 104
Salisbury, MD 21804-7021
Phone (718) 920-4231

Other practice location 1

12165 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-5151

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chesapeakecomprehensivedentistry@comcast.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 11, 2016 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15895MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray White & Allen DDS PA Dentist PastSince Jul 27, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1427474519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 S DIVISION ST",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047021",
            "telephone_number": "718-920-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S DIVISION ST STE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047021",
            "telephone_number": "410-749-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12165 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-5151",
            "fax_number": "410-651-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERAI",
        "first_name": "JOSEPH",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15895",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15895",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chesapeakecomprehensivedentistry@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Corporate Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "a",
            "address_1": "1346 S Division St Ste 104",
            "city": "Salisbury",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218047021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.