Active NPI
Merrill C Horne, M.D.
- Pediatrics Physician
- Mesquite, NV
National Provider Identifier
1891784369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9847
- Practice address
- 1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502 - Phone
- (702) 346-0800
- Fax
- (702) 346-0801
- NPI assigned
- Oct 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D8273 | TX | |
| Pediatrics Physician | 208000000X | 9847 | NV | Primary |
Addresses
Primary practice location
1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502
Mailing address
1301 Bertha Howe Ave
Suite 1
Mesquite, NV 89027-7502
Phone (702) 346-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111817604 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8273 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfaro LTD | Past | Accepting new patients | |
| Tooele Clinic Corp | Family Medicine | 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.
-
- Surgery Physician
- Mesquite, NV
- NPI 1467787192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1891784369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE",
"address_2": "SUITE 1",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277502",
"telephone_number": "702-346-0800",
"fax_number": "702-346-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE",
"address_2": "SUITE 1",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277502",
"telephone_number": "702-346-0800",
"fax_number": "702-346-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "MERRILL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D8273",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111817604",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.