Active NPI
Marjorie Wood Barndt, D.M.D., MDSC
- Prosthodontics
- Waterford, CT
National Provider Identifier
1043289481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 011421
- Practice address
- 112 Cross Road
Coastal CT Dentistry
Waterford, CT 06385 - Phone
- (860) 447-1787
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 21371 | MA | |
| Prosthodontics | 1223P0700X | 4438 | SC | |
| Prosthodontics | 1223P0700X | 011421 | CT | Primary |
Addresses
Primary practice location
112 Cross Road
Coastal CT Dentistry
Waterford, CT 06385
Mailing address
7 Maywood Dr
Old Lyme, CT 06371-1544
Phone (843) 986-4144
Other names 1
- Dr. Marjorie Cowee Wood
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011421 | CT | MD | Prosthodontist |
| 21371 | MA | MD | Prosthodontist |
| 4438 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Connecticut Dentistry, LLC | Past | Accepting new patients | |
| Resolute Cross Road LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Waterford, CT
- NPI 1689722365
-
- Dental Clinic/Center
- Waterford, CT
- NPI 1730644212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1043289481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MAYWOOD DR",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711544",
"telephone_number": "843-986-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CROSS ROAD",
"address_2": "COASTAL CT DENTISTRY",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-447-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNDT",
"first_name": "MARJORIE",
"middle_name": "WOOD",
"name_prefix": "Dr.",
"credential": "D.M.D., MDSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "21371",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "4438",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CT",
"license": "011421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARJORIE",
"last_name": "WOOD",
"middle_name": "COWEE",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.