Marian Clinic, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

KS22002779 Issued in KS

Legal business name

MARIAN CLINIC, INC.

Practice address

3164 SE 6TH Ave
Topeka, KS 66607-2204

Phone

(785) 233-2800

Fax

(785) 233-5116

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Michele Andrea Surber

Title

Executive Director

Phone

(913) 321-0820

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marian Dental Clinic - SCL Health Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista M Hahn, RDH, MBA, ECP-II

  • Dental Hygienist
  • Wamego, KS
  • NPI 1629310438
  NPD
• Kene Mackenzie, DDS

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1447322144
  NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1063577922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 SE 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072204",
            "telephone_number": "785-233-2800",
            "fax_number": "785-233-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 SE 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072204",
            "telephone_number": "785-233-2800",
            "fax_number": "785-233-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SURBER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-321-0820"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "KS",
            "license": "KS22002779",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100327610A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Topeka",
            "affiliation": "N",
            "endpointDescription": "www.mariandental.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3164 SE 6th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666072204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marian Dental Clinic - SCL Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberta Mansfield, APRN
• Mansury Hawa LTD
• Tex R. Manuel II, RPSGT,RRT
• Noelle Johnae Maples
• Babak Marefat, MD
• Daniel Alan Marichal, MD
• Shanina R Marin-Soto
• Clarissa Marin
• Vamsee Priya Marina, MD
• Mary E Mariner, CRNA

• All providers in Topeka, KS
• Community Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.