Active NPI
Merritt W. Dunlap, MD, PC
- Primary Care Clinic/Center
- Carson City, NV
National Provider Identifier
1871930982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 8077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2064175 | Merritt W Dunlap MD PC | Certificate of waiver | Mar 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Carson City, NV
- NPI 1386604999
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.