Individual provider Active NPI

Purva Suhas Merchant, B.D.S., M.S.

  • Pediatric Dentistry
  • Seattle, WA
National Provider Identifier
1942470059
Registry record updated Dec 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00010876 Issued in WA
Practice address
945 Elliott Ave W
Suite #101
Seattle, WA 98119-3645
Phone
(206) 743-8660
Fax
(206) 743-8766
NPI assigned
Mar 4, 2008
Last updated
Dec 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE00010876 WA Primary

Addresses

Primary practice location

945 Elliott Ave W
Suite #101
Seattle, WA 98119-3645

Mailing address

2612 32ND Ave W
Wa
Seattle, WA 98199-3222
Phone (425) 246-4658

Other identifiers 1

IdentifierTypeStateIssuer
5055678MedicaidWA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DE00010876WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Linsenmayer and Merchant, PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1942470059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 32ND AVE W",
            "address_2": "WA",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993222",
            "telephone_number": "425-246-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 ELLIOTT AVE W",
            "address_2": "SUITE #101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193645",
            "telephone_number": "206-743-8660",
            "fax_number": "206-743-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "PURVA",
        "middle_name": "SUHAS",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5055678",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; 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.