Active NPI
Stephen James Mercer, DDS
- Dentist
- Salem, OR
National Provider Identifier
1790084127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6891
- Practice address
- 750 Browning Ave SE
Salem, OR 97302-3806 - Phone
- (503) 588-0116
- NPI assigned
- Mar 24, 2011
- Last updated
- Mar 24, 2011
- 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 | 6891 | OR | Primary |
Addresses
Primary practice location
750 Browning Ave SE
Salem, OR 97302-3806
Mailing address
750 SW Browning Street
Salem, OR 97302
Phone (503) 588-0116
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 |
|---|---|---|---|
| 6891 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1790084127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 SW BROWNING STREET",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-588-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BROWNING AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023806",
"telephone_number": "503-588-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "6891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.