NPIMap

Organization Active NPI

Robert S. Merritt DMD PC

  • Dentist
  • Myrtle Beach, SC
National Provider Identifier
1841500972
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4131 Issued in SC
Legal business name
ROBERT S. MERRITT DMD PC
Practice address
4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752
Phone
(843) 449-7114
Fax
(843) 449-2554
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Robert Spann MerrittNPI 1245428283
Title
President
Phone
(843) 449-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4131 SC Primary

Addresses

Primary practice location

4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752

Mailing address

4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752
Phone (843) 449-7114

National Provider Directory

National Provider Directory

Locations

4610 Oleander Dr
Ste 103
Myrtle Beach, SC 29577
Phone (843) 449-7114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1841500972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 103",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-449-7114",
            "fax_number": "843-449-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 103",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-449-7114",
            "fax_number": "843-449-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. MERRITT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SPANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-449-7114"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.