Individual provider Active NPI

Valerie Ann Marino, D.D.S.

  • Periodontics
  • North Palm Beach, FL
National Provider Identifier
1063549871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0010567 Issued in FL
Practice address
1216 US Highway 1
Suite B
North Palm Beach, FL 33408-3537
Phone
(561) 624-5307
Fax
(561) 624-1381
NPI assigned
Feb 28, 2007
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0010567 FL Primary

Addresses

Primary practice location

1216 US Highway 1
Suite B
North Palm Beach, FL 33408-3537

Mailing address

1216 US Highway 1
Suite B
North Palm Beach, FL 33408-3537
Phone (561) 624-5307

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

LicenseStateTypeSpecialty
0010567FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Ehrenman DMD MSD LLC Periodontics PastSince Feb 12, 2023 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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063549871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083537",
            "telephone_number": "561-624-5307",
            "fax_number": "561-624-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083537",
            "telephone_number": "561-624-5307",
            "fax_number": "561-624-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "0010567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • 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.