Active NPI
Frank Anthony Merendino III, DDS
- General Practice Dentistry
- Erwin, TN
National Provider Identifier
1871814129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9168
- Practice address
- 600 N Main Ave
Erwin, TN 37650-1392 - Phone
- (423) 743-6144
- NPI assigned
- Jun 21, 2010
- Last updated
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150413000127 | TN | Order and Referring Only - Oral Surgery | 9335467976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9168 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Erwin, TN
- NPI 1184770265
-
- General Practice Dentistry
- Erwin, TN
- NPI 1154623411
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
- Lumina Counseling and Wellness PLLC
- Markland Behavioral Services
- Shawnee Mae Kay Markland, BCBA
- Catherine Mattix, L.M.T.
- Medicone Medical Response of Tennessee Inc
- Adriene Nicole Miller, PHARMD
- Charles G Miller II, DO
- Gordon Wyche Moughon, MD
- Mountain States Health Alliance (Unicoi County Hospital)
- Mountain States Health Alliance (Center for Sleep Disorders at UCMH)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.