Jordan Scott Merrill, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000002794 Issued in TN

Practice address

2995 Fort Henry Dr
Suite 200
Kingsport, TN 37664-4068

Phone

(423) 765-9256

Fax

(423) 765-9258

NPI assigned

Aug 13, 2012

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Joseph a. Targonski

  dba Archbold Chiropractic Center

  • Chiropractor
  • Archbold, OH
  • NPI 1528160637
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1720335466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 FORT HENRY DR",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644068",
            "telephone_number": "423-765-9256",
            "fax_number": "423-765-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 FORT HENRY DR",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644068",
            "telephone_number": "423-765-9256",
            "fax_number": "423-765-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JORDAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4329",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercer Family Dentistry, Inc.
• Jeffrey Brian Mercer, D.D.S.
• Abigail Merica
• H. David Merrill, DAVID MERRILL D.C.
• James J Merrill, MD
• Bonnie L Messerschmidt, NP
• Aaron K Metcalf, D.O.
• Brent Metcalf, LCSW
• David Christopher Metzger, M.D.
• Kathryn Amanda Metzger, RPH

• Chiropractor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.