Active NPI
Dennis Yasuda Marshall, RRT
- Registered Respiratory Therapist
- Boca Raton, FL
National Provider Identifier
1063696367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- L04915
- Practice address
- 5901 Broken Sound Pkwy
Suite 500
Boca Raton, FL 33487-2773 - Phone
- (561) 367-0884
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | L04915 | MD | Primary |
| Registered Respiratory Therapist | 227900000X | 5679 | MA |
Addresses
Primary practice location
5901 Broken Sound Pkwy
Suite 500
Boca Raton, FL 33487-2773
Mailing address
73-4326 Aka Aka Place
Kailua-Kona, HI 96740-9507
Phone (808) 938-1052
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 |
|---|---|---|---|
| 5679 | MA | MD | Psychologist |
| L04915 | MD | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1063696367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-4326 AKA AKA PLACE",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "967409507",
"telephone_number": "808-938-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY",
"address_2": "SUITE 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "561-367-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DENNIS",
"middle_name": "YASUDA",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MD",
"license": "L04915",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MA",
"license": "5679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.