Active NPI
Marcus Mercer
- Dentist
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019018685
- Legal business name
- MARCUS MERCER
- Practice address
- 5526 E Lake Dr
A
Lisle, IL 60532-2691 - Phone
- (630) 373-6309
- NPI assigned
- Oct 6, 2016
- Last updated
- Oct 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcus Mercer, DDS
- Title
- Owner
- Phone
- (630) 373-6309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019018685 | IL | Primary |
Addresses
Primary practice location
5526 E Lake Dr
A
Lisle, IL 60532-2691
Mailing address
5526 E Lake Dr
A
Lisle, IL 60532-2691
Phone (630) 373-6309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019018685 | Other | IL | STATE OF ILLINOIS |
National Provider Directory
National Provider Directory- Tax ID family
- Marcus Mercer
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Romeoville, IL
- NPI 1497820351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Lisle, IL
- NPI 1407367857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1487104188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 E LAKE DR",
"address_2": "A",
"city": "LISLE",
"state": "IL",
"postal_code": "605322691",
"telephone_number": "630-373-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5526 E LAKE DR",
"address_2": "A",
"city": "LISLE",
"state": "IL",
"postal_code": "605322691",
"telephone_number": "630-373-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCUS MERCER",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "MARCUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-373-6309",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019018685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS",
"identifier": "019018685",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.