Kevin S Merlino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13748 Issued in FL

Practice address

212 Cornwall Dr
Ponte Vedra, FL 32081-0126

Phone

(201) 248-9609

NPI assigned

Dec 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Canadian Memorial Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluewater Wellness Center

  • Chiropractor
  • Ponte Vedra, FL
  • NPI 1689355869
  Medicare reassignment NPD Authorized official
• Bartram Family Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1497035141
  Medicare reassignment NPD
• Bartram Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1871244178
  NPD

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1851457097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 US HIGHWAY 1 N",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817803",
            "telephone_number": "201-248-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CORNWALL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810126",
            "telephone_number": "201-248-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLINO",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13748",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00573900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly McGowan
• Catherine McLoone, LMHC
• Elizabeth Keenan McQuagge, APRN
• Michelle Melanson
• Nicole Melanson, MD
• Mia Group
• Michael Gagaoudakis DMD PA
• Ashley Michaux, ARNP
• Elizabeth A Milano, LCSW
• Griffin P Miller Jr., MPT

• Chiropractor in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.