Organization Active NPI

Richard W Merritt DC PA

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1851398705
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2541 Issued in FL
Legal business name
RICHARD W MERRITT DC PA
Practice address
1253 W Memorial Blvd
Lakeland, FL 33815-0602
Phone
(863) 687-8165
Fax
(863) 687-1807
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Richard W Merritt, D.C.
Title
President
Phone
(863) 687-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH2541 FL Primary

Addresses

Primary practice location

1253 W Memorial Blvd
Lakeland, FL 33815-0602

Mailing address

1253 W Memorial Blvd
Lakeland, FL 33815-0602
Phone (863) 687-8165

Other names 1

  • Chiropractic Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1253 W Memorial Blvd
Lakeland, FL 33815
Phone (863) 687-8165

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1851398705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 W MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150602",
            "telephone_number": "863-687-8165",
            "fax_number": "863-687-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150602",
            "telephone_number": "863-687-8165",
            "fax_number": "863-687-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W MERRITT DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-687-8165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.