Individual provider Active NPI

Jeffrey Dodds Mercando, DMD

  • General Practice Dentistry
  • Doylestown, PA
National Provider Identifier
1982875308
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030190 Issued in PA
Practice address
1032 N Easton Road
Suite B
Doylestown, PA 18902
Phone
(215) 340-9876
Fax
(215) 340-1162
NPI assigned
Mar 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS030190 PA Primary

Addresses

Primary practice location

1032 N Easton Road
Suite B
Doylestown, PA 18902

Mailing address

1032 N Easton Road
Suite B
Doylestown, PA 18902
Phone (215) 340-9876

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

LicenseStateTypeSpecialty
DS030190PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1982875308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 N EASTON ROAD",
            "address_2": "SUITE B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18902",
            "telephone_number": "215-340-9876",
            "fax_number": "215-340-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 N EASTON ROAD",
            "address_2": "SUITE B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18902",
            "telephone_number": "215-340-9876",
            "fax_number": "215-340-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCANDO",
        "first_name": "JEFFREY",
        "middle_name": "DODDS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.