Lucas W Merrell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7636 Issued in NC

Practice address

702 S Highland Ave
Landis, NC 28088-1706

Phone

(704) 857-6161

Fax

(704) 856-1847

NPI assigned

Oct 24, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lucas W. Merrell, DDS, PA

  dba Merrell Family Dentistry

  • General Practice Dentistry
  • Landis, NC
  • NPI 1437575107
  Authorized official Same address or phone
• Joshua Miller DMD Hickory, PLLC

  dba Parkway Dentistry

  • Dental Clinic/Center
  • Landis, NC
  • NPI 1679288575
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1871677237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S HIGHLAND AVE",
            "city": "LANDIS",
            "state": "NC",
            "postal_code": "280881706",
            "telephone_number": "704-857-6161",
            "fax_number": "704-856-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S HIGHLAND AVE",
            "city": "LANDIS",
            "state": "NC",
            "postal_code": "280881706",
            "telephone_number": "704-857-6161",
            "fax_number": "704-856-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "LUCAS",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Kesler, DDS PS
• Jonathan Francis Leonard, DMD
• Lucas W. Merrell, DDS, PA (Merrell Family Dentistry)
• Sophie Soltes Mack, NP
• Brittany McGuire
• Alay Modi
• Ratisha N. Rahman
• Yolanda Janita Reid
• Tricia Schmidt, LCMHCA
• James W Shaver, OD

• General Practice Dentistry in Landis, NC
• Providers in Landis, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.