Active NPI
Neal Merchant, D.D.S.
- Dentist
- Fairfield, CA
National Provider Identifier
1659823110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100215
- Practice address
- 2801 Waterman Blvd Ste 120
Fairfield, CA 94534-2987 - Phone
- (707) 429-0451
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 100215 | CA | Primary |
Addresses
Primary practice location
2801 Waterman Blvd Ste 120
Fairfield, CA 94534-2987
Mailing address
301 King St
Unit 210
San Francisco, CA 94158-1634
Phone (832) 818-6325
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100215 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fana Aragaw DDS Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Fairfield, CA
- NPI 1144903956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659823110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 KING ST",
"address_2": "UNIT 210",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941581634",
"telephone_number": "832-818-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 WATERMAN BLVD STE 120",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945342987",
"telephone_number": "707-429-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "NEAL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.