Active NPI
Thomas Joseph Merlo, D.D.S.
- Dentist
- Ponte Vedra Beach, FL
National Provider Identifier
1942546304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 5199
- Practice address
- 240 S Roscoe Blvd
Ponte Vedra Beach, FL 32082-4359 - Phone
- (904) 285-4239
- NPI assigned
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 5199 | FL | Primary |
Addresses
Primary practice location
240 S Roscoe Blvd
Ponte Vedra Beach, FL 32082-4359
Mailing address
240 S Roscoe Blvd
Ponte Vedra Beach, FL 32082-4359
Phone (904) 285-4239
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 5199 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1942546304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S ROSCOE BLVD",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824359",
"telephone_number": "904-285-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S ROSCOE BLVD",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824359",
"telephone_number": "904-285-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLO",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 5199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.