Merchants Walk Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MERCHANTS WALK DENTAL PC

Practice address

1344 E Cobb Dr Ste 100
Marietta, GA 30068-2726

Phone

(770) 961-5055

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John Bishara, DDSNPI 1336163955

Title

Owner

Phone

(678) 754-4673

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Farid Bishara, DDS

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1336163955
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1932833217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 OLD COLLEGE WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625964",
            "telephone_number": "678-754-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 E COBB DR STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682726",
            "telephone_number": "770-961-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCHANTS WALK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-754-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336163955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aster Mengistie
• Zena Mengistie
• Nitasha Menon, MD
• Joyce Mensah
• Louis Mercado
• Merchants Walk Wellness Center
• Alson Mercurius, MD
• Catherine M Meredith, MD
• Mary P Meredith, RPH
• Merge Health Fitness and Nutrition, Inc.

• Dental Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.