Karl Kirby Marine, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Practice address

3003 41St St
Moline, IL 61265-7826

Phone

(309) 762-8838

NPI assigned

Feb 12, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthodontic Group Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Moline, IL
  • NPI 1639196488

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• Orthodontic Group, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Moline, IL
  • NPI 1790500072

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013058809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657826",
            "telephone_number": "309-762-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657826",
            "telephone_number": "309-762-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "KARL",
        "middle_name": "KIRBY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faraz Manazir, M.D.
• Mangan Chiropractic Clinic, S.C.
• Harlene Rosemary Mangan, B.S.,D.C.,F.I.A.M.A.
• Lewis T Mann, M.D.
• Benjamin M Marine
• Lora L Marine, D.M.D.
• Markovich Chiropractic L.L.C.
• Susan Marie Marley Bird, MD
• Kimberly Martin, LCSW LISW
• Toni L Martin, APN

• All providers in Moline, IL
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.