Merritt DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MERRITT DDS, PLLC

Practice address

2918 W 10TH St
Greeley, CO 80634-5457

Phone

(970) 673-8411

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Merritt, DDS

Title

Owner

Phone

(661) 549-3075

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1659036697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345457",
            "telephone_number": "970-673-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345457",
            "telephone_number": "970-673-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-549-3075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000157745",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hubbardfamilydedntal@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "patient related questions",
            "address_1": "2918 W 10th St",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806345457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Elena Mercado
• Abigail Marie Mercer
• Kristin Lee Mercer
• Alan J Merkow, MD
• Eboni Dawn Merrill
• Alicia Rose Merritt, LCSW
• Daniel J Mertz, PMHNP
• Brian Eric Mesa
• Christopher G Mesa
• Sarah Lauren Mestas

• Dental Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.