NPIMap

Organization Active NPI

Merritts Diabetic Shoes and More

  • Durable Medical Equipment & Medical Supplies
  • Clarkson, KY
National Provider Identifier
1679753891
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERRITTS DIABETIC SHOES AND MORE
Practice address
722 W Main St
Clarkson, KY 42726-7048
Phone
(270) 200-2100
Fax
(270) 200-2101
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Curtis Merritt
Title
President
Phone
(270) 200-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

722 W Main St
Clarkson, KY 42726-7048

Mailing address

722 W Main St
P O Box 258
Clarkson, KY 42726-7048
Phone (270) 200-2100

Other identifiers 3

IdentifierTypeStateIssuer
2862816000OtherKYPASSPORT ADVANTAGE
7100004020MedicaidKY
50016031OtherKYPASSPORT HEALTHPLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1679753891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W MAIN ST",
            "address_2": "P O BOX 258",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427267048",
            "telephone_number": "270-200-2100",
            "fax_number": "270-200-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAIN ST",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427267048",
            "telephone_number": "270-200-2100",
            "fax_number": "270-200-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITTS DIABETIC SHOES AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-200-2100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2862816000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTHPLAN",
            "identifier": "50016031",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.