Organization Active NPI

Marshall T. Lavin, DDS, PC

  • Endodontics
  • Sioux Falls, SD
National Provider Identifier
1013042027
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
M865 Issued in SD
Legal business name
MARSHALL T. LAVIN, DDS, PC
Practice address
1710 S Southeastern Ave
Suite 100
Sioux Falls, SD 57103-3381
Phone
(605) 334-7979
Fax
(605) 334-2275
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marshall Lavin, DDS
Title
Doctor
Phone
(605) 334-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X M865 SD Primary

Addresses

Primary practice location

1710 S Southeastern Ave
Suite 100
Sioux Falls, SD 57103-3381

Mailing address

1710 S Southeastern Ave
Suite 100
Sioux Falls, SD 57103-3381
Phone (605) 334-7979

National Provider Directory

National Provider Directory

Locations

1710 S Southeastern Ave
Ste 100
Sioux Falls, SD 57103
Phone (605) 334-7979

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013042027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S SOUTHEASTERN AVE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033381",
            "telephone_number": "605-334-7979",
            "fax_number": "605-334-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S SOUTHEASTERN AVE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033381",
            "telephone_number": "605-334-7979",
            "fax_number": "605-334-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL T. LAVIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "605-334-7979",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SD",
            "license": "M865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.