Michael Abnel Mercado Ortiz

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

36000 Shoemaker Lane Suite 1051
Ft Cavazos, TX 76544

Phone

(254) 286-6037

NPI assigned

Oct 2, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1629858303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581-1 CARTER STREET",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 SHOEMAKER LANE SUITE 1051",
            "city": "FT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-286-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO ORTIZ",
        "first_name": "MICHAEL",
        "middle_name": "ABNEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaine Dale McGraw, MD
• Cynthia Louise McLean, DPT, OCS
• Warren Wilson Mebane Jr., M.D.
• Sankalp Mehrotra, SOCIAL WORKER
• Russell Menard
• Jose Carlos Mercado Jr.
• Jameson Markis Mercier, PH.D., LCSW
• Christopher M Miller
• Demetria Ann Miller, DO
• Joel Alexander Miller, M.D.

• Dental Hygienist in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.