Active NPI
John A Merrill, DDS
- Dentist
- Huntersville, NC
National Provider Identifier
1740357912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8535
- Practice address
- 9735 Kincey Ave
Suite 206
Huntersville, NC 28078-9118 - Phone
- (704) 450-6500
- NPI assigned
- Nov 30, 2006
- 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 | 8535 | NC | Primary |
Addresses
Primary practice location
9735 Kincey Ave
Suite 206
Huntersville, NC 28078-9118
Mailing address
9735 Kincey Ave
Suite 206
Huntersville, NC 28078-9118
Phone (704) 450-6500
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": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1740357912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "SUITE 206",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789118",
"telephone_number": "704-450-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "SUITE 206",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789118",
"telephone_number": "704-450-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.