Individual provider Active NPI

Robert L Merrill Jr., DDS

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1881626703
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4928 Issued in NC
Practice address
561 Old County Home Rd
Asheville, NC 28806-9494
Phone
(828) 254-0400
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 4928 NC Primary

Addresses

Primary practice location

561 Old County Home Rd
Asheville, NC 28806-9494

Mailing address

561 Old County Home Rd
Asheville, NC 28806-9494
Phone (828) 254-0400

Other identifiers 2

IdentifierTypeStateIssuer
4928OtherNCNC STATE LICENSE #
95937OtherNCBCBSNC AND MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150407002475 NC Order and Referring Only - DentistPractitioner - Dentist 4688992423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4928NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Merrill Jr DDS PA General Practice Past Accepting new patients
Alexander Krasne 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881626703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 OLD COUNTY HOME RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069494",
            "telephone_number": "828-254-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 OLD COUNTY HOME RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069494",
            "telephone_number": "828-254-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE #",
            "identifier": "4928",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC AND MEDICAID",
            "identifier": "95937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.