Active NPI
James Merriman
- Dentist
- Marietta, GA
National Provider Identifier
1619004389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9180
- Practice address
- 130 Vann St NE
Suite 210
Marietta, GA 30060-7230 - Phone
- (770) 425-0448
- Fax
- (770) 426-5714
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9180 | GA | Primary |
Addresses
Primary practice location
130 Vann St NE
Suite 210
Marietta, GA 30060-7230
Mailing address
130 Vann St NE
Suite 210
Marietta, GA 30060-7230
Phone (770) 425-0448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619004389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 VANN ST NE",
"address_2": "SUITE 210",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607230",
"telephone_number": "770-425-0448",
"fax_number": "770-426-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 VANN ST NE",
"address_2": "SUITE 210",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607230",
"telephone_number": "770-425-0448",
"fax_number": "770-426-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.