Active NPI
Tammy N Merchant, DHAT
- Dental Therapist
- Wasilla, AK
National Provider Identifier
1679958326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- 06027DHAT
- Practice address
- 1001 S Knik Goose Bay Rd
Dental
Wasilla, AK 99654-8083 - Phone
- (907) 729-2000
- Fax
- (907) 729-5178
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 06027DHAT | AK | Primary |
Addresses
Primary practice location
1001 S Knik Goose Bay Rd
Dental
Wasilla, AK 99654-8083
Mailing address
1001 S Knik Goose Bay Rd
Dental
Wasilla, AK 99654-8083
Phone (907) 729-2000
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 |
|---|---|---|---|
| 06027DHAT | AK | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1679958326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"address_2": "DENTAL",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-729-2000",
"fax_number": "907-729-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"address_2": "DENTAL",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-729-2000",
"fax_number": "907-729-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "TAMMY",
"middle_name": "N",
"credential": "DHAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "AK",
"license": "06027DHAT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.