Ricky Charles Merriam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

110566 Issued in TX

Practice address

12700 Hillcrest Rd
Ste 125 #143
Dallas, TX 75230-2009

Phone

(469) 307-1729

NPI assigned

Sep 29, 2018

Sex

Male

Sole proprietor

Yes

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

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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1609351253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "address_2": "STE 125 #143",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "469-307-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "address_2": "STE 125 #143",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "469-307-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Hillcrest Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302009",
            "country_code": "US",
            "telephone_number": "469-307-1729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIAM",
        "first_name": "RICKY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "110566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Merlick, LPC
• Shanny A. Merlos, MSN, NNP-BC
• Jamie Mermis
• Joseph F Merola, M.D., M.M.SC.
• Robbie Arties Merrett, LPC
• Ethan Gregory Merrifield, PHARMD
• Nancy Bradley Merrill, M.D.
• Piper Merrill, NP
• Sonya Leigh Merrill, MD, PHD
• Tatiana Faith Merrill, RN

• Massage Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; 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.