Kenneth Edgar Merckel, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901008782 Issued in MI

Practice address

6093 Fulton St
Mayville, MI 48744

Phone

(989) 843-6431

Fax

(989) 843-6431

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962514240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "address_2": "6093 FULTON ST",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "48744",
            "telephone_number": "989-843-6431",
            "fax_number": "989-843-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 FULTON ST",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "48744",
            "telephone_number": "989-843-6431",
            "fax_number": "989-843-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCKEL",
        "first_name": "KENNETH",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901008782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Kaluk, SLP, MA-CCC
• Rhian Marcum
• Marlette Regional Hospital (Mayville Family Healthcare)
• Darla Dawn Mays, PA-C
• Mayville Area Ambulance Service
• Mi Healing Hope, LLC
• Morning Glory Home Healthcare Inc.
• Christine L Neill
• Justin Nelson
• Andrew Oliver

• Endodontics in Mayville, MI
• Providers in Mayville, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.