Individual provider Active NPI

Craig Richard Merrihew, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1871600171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28044 Issued in CA
Practice address
5225 Canyon Crest Dr
Suite 209
Riverside, CA 92507-6301
Phone
(951) 686-7777
Fax
(951) 686-4724
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28044 CA Primary

Addresses

Primary practice location

5225 Canyon Crest Dr
Suite 209
Riverside, CA 92507-6301

Mailing address

5225 Canyon Crest Dr
Suite 209
Riverside, CA 92507-6301
Phone (951) 686-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309001270 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769653583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28044CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Merrihew, DDS, a Professional Corporation CurrentSince Jun 21, 2022 Accepting new patients

Locations

5225 Canyon Crest Dr
Ste 209
Riverside, CA 92507
Phone (951) 425-4105

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871600171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR",
            "address_2": "SUITE 209",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076301",
            "telephone_number": "951-686-7777",
            "fax_number": "951-686-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR",
            "address_2": "SUITE 209",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076301",
            "telephone_number": "951-686-7777",
            "fax_number": "951-686-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIHEW",
        "first_name": "CRAIG",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.