Jessica Mervau, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD5384 Issued in NM

Practice address

312 Catron St
Santa Fe, NM 87501-1806

Phone

(505) 986-0606

NPI assigned

May 29, 2014

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J&J Dentistry, LLC

  dba Dental Arts of Santa Fe

  • Dental Clinic/Center
  • Santa Fe, NM
  • NPI 1255916102
  NPD Authorized official
• Jessica Lee Smiles, LCC

  dba Abundant Smiles

  • Dentist
  • Denver, CO
  • NPI 1376099002
  NPD (past) Authorized official
• Dental Arts of Santa Fe, PC

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1851400840
  NPD (past)
• Staffendudley PLLC

  dba Branin Center for Dentistry Denver Highland

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1447863725
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1700298387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CATRON ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011806",
            "telephone_number": "505-986-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CATRON ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011806",
            "telephone_number": "505-986-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVAU",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100086915",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202605",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5384",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Mercer
• Kari Meredith
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• Harold Mermelstein, LPC
• Susan B Merrill, MSW, LISW
• Mesa Vista Wellness
• Carmen Messina
• Metamorphosis Counseling LLC
• Adam Dulaney Metcalf, LCSW
• Metta Bhavana LLC

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.