Active NPI
Robert Keith Mercer Jr., D.D.S.
- Dentist
- Rogers, AR
National Provider Identifier
1720429269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3953
- Practice address
- 508 S 52ND St
Rogers, AR 72758-8600 - Phone
- (479) 845-1191
- NPI assigned
- Jul 12, 2013
- Last updated
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3953 | AR | Primary |
Addresses
Primary practice location
508 S 52ND St
Rogers, AR 72758-8600
Mailing address
3109 S 28TH PL Apt 12
Rogers, AR 72758-4720
Phone (501) 206-5081
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 |
|---|---|---|---|
| 3953 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropark Dental Arts | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Rogers, AR
- NPI 1821279134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1720429269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 S 28TH PL APT 12",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584720",
"telephone_number": "501-206-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588600",
"telephone_number": "479-845-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "ROBERT",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
- Sydney Skylar Melugin, CRNA
- Cameron Mendoza, LMSW
- Patricia J Mendoza, APRN
- Isabella Meneses-Furuseth, MSCN
- Brooke Menke
- Mercy Clinic Springfield Communities (SJC-Neurosurgery-Rogers)
- Mercy Health Northwest Arkansas Communities
- Mercy Health Northwest Arkansas Communities
- Mercy Health Northwest Arkansas Communities
- Mercy Health Northwest Arkansas Communities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.