Active NPI
Debra Sue McNair-Mertes, RDH
- Dental Hygienist
- Brookfield, WI
National Provider Identifier
1710073762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4666
- Practice address
- 3540C N 126TH St
Brookfield, WI 53005-2411 - Phone
- (262) 790-9559
- Fax
- (262) 790-9609
- NPI assigned
- Oct 5, 2006
- 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 Hygienist | 124Q00000X | 4666 | WI | Primary |
Addresses
Primary practice location
3540C N 126TH St
Brookfield, WI 53005-2411
Mailing address
25 Needham St
Newton, MA 02461-1615
Phone (617) 964-6681
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710073762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEEDHAM ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611615",
"telephone_number": "617-964-6681",
"fax_number": "617-630-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540C N 126TH ST",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052411",
"telephone_number": "262-790-9559",
"fax_number": "262-790-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAIR-MERTES",
"first_name": "DEBRA",
"middle_name": "SUE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "4666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.