Liliana Mercedes Marshall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

87441 Issued in FL

Practice address

2186 Harris Ave NE
Suite 3
Palm Bay, FL 32905-4044

Phone

(321) 723-2620

NPI assigned

Oct 28, 2006

Sex

Female

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Liliana Marshall DMD PLLC

  • General Practice Dentistry
  • Palm Bay, FL
  • NPI 1083974901
  NPD (past) Authorized official
• Liliana Marshall DMD PLLC

  • Dental Clinic/Center
  • Kings Mountain, NC
  • NPI 1699612069
  NPD
• Jacked DMD, PLLC

  • Dental Clinic/Center
  • Palm Bay, FL
  • NPI 1558106682
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1013093491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-723-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-723-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LILIANA",
        "middle_name": "MERCEDES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "87441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marchionni, RBT
• Marigold Care Facility LLC
• Shavonne Mariscal
• Marjorie Doreen Thompson
• Flavia Marques Campoy, FNP-C
• Marchalee Amoya Marshall
• Shirley A Marshall, MD
• Martin Jacobson, D.C., P.a.
• Kristen Martin
• Maryann Martin, N.P.

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.