Individual provider Active NPI

Vilson Merkaj, DDS

  • Dentist
  • Largo, FL
National Provider Identifier
1720633282
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24839 Issued in FL
Practice address
12720 Ulmerton Rd
Largo, FL 33774-3601
Phone
(727) 581-1869
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600292 MI
Dentist 122300000X DN24839 FL Primary

Addresses

Primary practice location

12720 Ulmerton Rd
Largo, FL 33774-3601

Mailing address

12536 116TH St
Largo, FL 33778-2501
Phone (313) 443-4840

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24839FLMDDentist
2901600292MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist PastSince Jun 22, 2021 Accepting new patients
Christopher J. Bonham, D.M.D., P.a. PastSince Sep 5, 2021 Accepting new patients
Coast Florida P.a. Dentist PastSince Aug 1, 2020 Accepting new patients
J. Carey Bonham DMD, PL PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1720633282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12536 116TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782501",
            "telephone_number": "313-443-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743601",
            "telephone_number": "727-581-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKAJ",
        "first_name": "VILSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600292",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.