Organization Active NPI

Merritt W. Dunlap, MD, PC

  • Primary Care Clinic/Center
  • Carson City, NV
National Provider Identifier
1871930982
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
8077 Issued in NV
Legal business name
MERRITT W. DUNLAP, MD, PC
Practice address
412 W John St Ste D
Carson City, NV 89703-8829
Phone
(775) 461-0021
Fax
(775) 461-0040
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Julie K Dunlap
Title
Practice Manager
Phone
(775) 461-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 8077 NV Primary

Addresses

Primary practice location

412 W John St Ste D
Carson City, NV 89703-8829

Mailing address

412 W John St Ste D
Carson City, NV 89703-8829
Phone (775) 461-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807000991 NV Part B Supplier - Clinic/Group Practice 1153563994 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2064175Merritt W Dunlap MD PC412 W John St Ste D, Carson City, NV 89703Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

412 W John St
Ste D
Carson City, NV 89703
Phone (775) 461-0021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1871930982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W JOHN ST STE D",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038829",
            "telephone_number": "775-461-0021",
            "fax_number": "775-461-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W JOHN ST STE D",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038829",
            "telephone_number": "775-461-0021",
            "fax_number": "775-461-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT W. DUNLAP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "775-461-0021"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "8077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.