Active NPI
Danene Renee Mercill, DDS
- Dentist
- Anderson, CA
National Provider Identifier
1730211103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28878
- Practice address
- 2817 Childress Rd
Anderson, CA 96007 - Phone
- (530) 365-3351
- Fax
- (530) 365-2732
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28878 | CA | Primary |
Addresses
Primary practice location
2817 Childress Rd
Anderson, CA 96007
Mailing address
2817 Childress Rd
Anderson, CA 96007
Phone (530) 365-3351
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 |
|---|---|---|---|
| 28878 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Murolo, D.D.S. a Professional Dental Corporation | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Anderson, CA
- NPI 1700722964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730211103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 CHILDRESS RD",
"city": "ANDERSON",
"state": "CA",
"postal_code": "96007",
"telephone_number": "530-365-3351",
"fax_number": "530-365-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 CHILDRESS RD",
"city": "ANDERSON",
"state": "CA",
"postal_code": "96007",
"telephone_number": "530-365-3351",
"fax_number": "530-365-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCILL",
"first_name": "DANENE",
"middle_name": "RENEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, CA
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.