Active NPI
Kelly Ruggieri Mercurio, DMD
- Dentist
- Washington, DC
National Provider Identifier
1760037873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN1002042
- Practice address
- 100 Gallatin St NE
Washington, DC 20011-7533 - Phone
- (844) 796-2797
- NPI assigned
- Aug 6, 2019
- 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 | DEN1002042 | DC | Primary |
Addresses
Primary practice location
100 Gallatin St NE
Washington, DC 20011-7533
Mailing address
16 Terra CT
Cranston, RI 02920-4373
Phone (401) 499-6709
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 |
|---|---|---|---|
| DEN1002042 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1760037873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TERRA CT",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204373",
"telephone_number": "401-499-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GALLATIN ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200117533",
"telephone_number": "844-796-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERI MERCURIO",
"first_name": "KELLY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1002042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.