David N Merrill, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH2544 Issued in WA

Practice address

24017 104TH Ave SE
Kent, WA 98030-4975

Phone

(253) 854-0400

Fax

(253) 854-0404

NPI assigned

Mar 28, 2007

Last updated

May 18, 2017By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Issaquah Family Chiropractic, P.S.

  dba Issaquah Family Chiropractic

  • Chiropractor
  • Sammamish, WA
  • NPI 1801096359
  Medicare reassignment NPD
• Zephyr Chiropractic

  dba South Lake Union Chiropractic and Massage

  • Chiropractor
  • Seattle, WA
  • NPI 1891969200
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1982723094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE",
            "address_2": "STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "253-854-0400",
            "fax_number": "253-854-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24017 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304975",
            "telephone_number": "253-854-0400",
            "fax_number": "253-854-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH2544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "103339",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "91-2048442",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail E Mercure, ARNP
• Samson Meresa
• Meridian Dental Clinic, LLC
• Meridian Optical Inc
• Meridian Valley Chiropractic Clinic, PS
• B L Merriman-McClain, RN00089185
• Hayley Merry
• Hasiya Meshalla
• Eyasu Meshesha
• Jesse Alan Messerschmidt, D.C.

• Rehabilitation Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.