Individual provider Active NPI

Marcus Karl Mercier, D.M.D.

  • General Practice Dentistry
  • New Albany, MS
National Provider Identifier
1902091978
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3436-07 Issued in MS
Practice address
196 Starlyn Ave
New Albany, MS 38652-2436
Phone
(662) 534-5252
Fax
(662) 534-5052
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 3436-07 MS Primary

Addresses

Primary practice location

196 Starlyn Ave
New Albany, MS 38652-2436

Mailing address

196 Starlyn Ave
New Albany, MS 38652-2436
Phone (662) 534-5252

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3436-07MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nadc PLLC General Practice CurrentSince Apr 23, 2023 Accepting new patients

Locations

196 Starlyn Ave
New Albany, MS 38652
Phone (662) 534-5252

Organizations & group practices 1

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1902091978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 STARLYN AVE",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522436",
            "telephone_number": "662-534-5252",
            "fax_number": "662-534-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 STARLYN AVE",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522436",
            "telephone_number": "662-534-5252",
            "fax_number": "662-534-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCIER",
        "first_name": "MARCUS",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3436-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.