Individual provider Active NPI

Frank Anthony Merendino III, DDS

  • General Practice Dentistry
  • Erwin, TN
National Provider Identifier
1871814129
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9168 Issued in TN
Practice address
600 N Main Ave
Erwin, TN 37650-1392
Phone
(423) 743-6144
NPI assigned
Jun 21, 2010
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9168 TN Primary

Addresses

Primary practice location

600 N Main Ave
Erwin, TN 37650-1392

Mailing address

1725 W Lakeview Dr Unit 42
Johnson City, TN 37601-4310
Phone (423) 967-5903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150413000127 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9335467976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9168TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Dental, P.L.L.C. General Practice Past Accepting new patients
Erwin Dental Associates, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1871814129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W LAKEVIEW DR UNIT 42",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014310",
            "telephone_number": "423-967-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501392",
            "telephone_number": "423-743-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENDINO",
        "first_name": "FRANK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.