Individual provider Active NPI

Daniel R Merwin, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, TN
National Provider Identifier
1922138312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS0000007090 Issued in TN
Practice address
460 N Parkway
Jackson, TN 38305-2818
Phone
(731) 668-8922
Fax
(731) 668-2755
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS0000007090 TN Primary

Addresses

Primary practice location

460 N Parkway
Jackson, TN 38305-2818

Mailing address

32 Tanger Lake CV
Jackson, TN 38305-7375
Phone (731) 668-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 15, 2018 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS0000007090TNMDOrthodontics and Dentofacial Orthopedic Dentist
7090TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922138312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TANGER LAKE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057375",
            "telephone_number": "731-668-8922",
            "fax_number": "731-668-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052818",
            "telephone_number": "731-668-8922",
            "fax_number": "731-668-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERWIN",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS0000007090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.