Mark Joseph Mery II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009775 Issued in AZ

Practice address

1113 S Signal Butte Rd Ste 101
Mesa, AZ 85208-3908

Phone

(480) 986-8013

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1609306190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 E VIA LINDA UNIT 2079",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S SIGNAL BUTTE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852083908",
            "telephone_number": "480-986-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERY",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Fredrick Merrill, D.D.S.
• Clayton Robert Merrill, PT, DPT
• Deborah Rolling Merrill, MS CCC SLP
• Jarilynne B Merrill, MD
• Satya Merrill, RN
• Georgia Ann Merz, M.A.
• Mesa Arizona SNF Healthcare, LLC
• Mesa ASC, LLC
• Mesa Az Endoscopy ASC LLC
• Mesa Cardiovascular Research Center

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.