Adam Charles Marre, MD, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A153496 Issued in CA

Practice address

1855 San Miguel Dr
Ste 25
Walnut Creek, CA 94596-5298

Phone

(925) 934-5565

Fax

(925) 934-6003

NPI assigned

Mar 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 24, 2022 through Oct 24, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1013258441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "STE 25",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965298",
            "telephone_number": "925-934-5565",
            "fax_number": "925-934-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "STE 25",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965298",
            "telephone_number": "925-934-5565",
            "fax_number": "925-934-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRE",
        "first_name": "ADAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A153496",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9362",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Markiewith, P.A.
• Sara Marks Brown, MA
• Robert T Marks, DDS
• Elizabeth Delores Marlow Lehrburger, M.D.
• Estelita Marquez Floyd, MD
• Andrew D Marshall, DDS
• Gregory A. Marshall, MD
• Kristi Marshall, MFT
• Aimee Eaton Martel, DPT, PT
• Martin Lee Schellinck DDS

• Oral & Maxillofacial Surgery (D.M.D.) in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.