Individual provider Active NPI

Erin Leanne Merriweather, D.D.S.

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1477840544
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30023538 Issued in OH
Practice address
4321 Talmadge Rd
Toledo, OH 43623-3539
Phone
(419) 724-1657
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30023538 OH Primary

Addresses

Primary practice location

4321 Talmadge Rd
Toledo, OH 43623-3539

Mailing address

19255 Berkeley Rd
Detroit, MI 48221-1867
Phone (313) 622-2489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001355 MI Practitioner - Oral Surgery 8426357567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30023538OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center CurrentSince Mar 21, 2016 Accepting new patients
Mycare Health Center CurrentSince Mar 21, 2016 Accepting new patients

Locations

6800 E 10 Mile Rd
Center Line, MI 48015

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

18 Market St
Ste C
Mount Clemens, MI 48043
Phone (586) 783-2222

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231

Organizations & group practices 2

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1477840544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 BERKELEY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211867",
            "telephone_number": "313-622-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233539",
            "telephone_number": "419-724-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIWEATHER",
        "first_name": "ERIN",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.