Individual provider Active NPI

Gerald M Marlin, DMD MSED

  • Prosthodontics
  • Washington, DC
National Provider Identifier
1043346489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2914 Issued in DC
Practice address
4400 Jenifer Street NW
Suite 220
Washington, DC 20015
Phone
(202) 244-2101
Fax
(202) 244-3277
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2914 DC Primary
Prosthodontics 1223P0700X 5549 MD
Prosthodontics 1223P0700X DN6058 FL

Addresses

Primary practice location

4400 Jenifer Street NW
Suite 220
Washington, DC 20015

Mailing address

4400 Jenifer Street NW
Suite 220
Washington, DC 20015
Phone (202) 244-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2914DCMDProsthodontist
DN6058FLMDProsthodontist
5549MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald M Marlin DMD PC Prosthodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043346489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 JENIFER STREET NW",
            "address_2": "SUITE 220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20015",
            "telephone_number": "202-244-2101",
            "fax_number": "202-244-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 JENIFER STREET NW",
            "address_2": "SUITE 220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20015",
            "telephone_number": "202-244-2101",
            "fax_number": "202-244-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "GERALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "2914",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "5549",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN6058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.