Maclyn Merritt, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

30444 Issued in CA

Practice address

201 Walnut Ave
Vallejo, CA 94592-1107

Phone

(707) 562-8200

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1467064584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ASPEN CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873315",
            "telephone_number": "530-249-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921107",
            "telephone_number": "707-562-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "MACLYN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "30444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNK",
            "identifier": "UNK",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UNK",
            "affiliation": "N",
            "address_1": "201 Walnut Ave",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945921107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Kathlyn Ochoa Mendoza, M.S CCC-SLP
• Quinton R Mendoza
• Mercury Pharmacy Corporation
• Carl Francis Merritt II, PHARM.D.
• Jeid Merritt, MD
• Margaux Martine Mertz, RADT
• Christine Marie Messinger-Ferguson, MFT
• Arthur Metu, R.PH
• Michael F Edziak, DDS
• Mikaela Tristan Middleton, MD

• Dental Hygienist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.