NPIMap

Organization Active NPI

Cora a Marsaw DDS PA

  • Periodontics
  • Mesquite, TX
National Provider Identifier
1073806998
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
015805 Issued in TX
Legal business name
CORA A MARSAW DDS PA
Practice address
3605 Interstate 30
Suite B
Mesquite, TX 75150-2670
Phone
(972) 270-9647
Fax
(972) 270-9648
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Ms. Cora A Marsaw, D.D.S.,P.A.
Title
Periodontist
Phone
(972) 270-9647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 015805 TX Primary

Addresses

Primary practice location

3605 Interstate 30
Suite B
Mesquite, TX 75150-2670

Mailing address

3605 I-30 West
Suite -B
Mesquite, TX 75150
Phone (972) 270-9647

Other identifiers 7

IdentifierTypeStateIssuer
0009003OtherTXFORTTIS FACILITY ID
250578OtherTXCIGNA FACILITY ID
405623OtherTXUNITED CONCORDIA PROVIDER
4001093OtherTXGUARDIAN PROVIDER NUMBER DVILLE
4001092OtherTXGUARDIAN PROVIDER NUMBER MESQUITE
008994801MedicaidTX
646307OtherTXDELTA CARE FACILITY ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1073806998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 I-30 WEST",
            "address_2": "SUITE -B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-270-9647",
            "fax_number": "972-270-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 INTERSTATE 30",
            "address_2": "SUITE B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502670",
            "telephone_number": "972-270-9647",
            "fax_number": "972-270-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA A MARSAW DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MARSAW",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "972-270-9647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S.,P.A."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "015805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTTIS FACILITY ID",
            "identifier": "0009003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA FACILITY ID",
            "identifier": "250578",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "405623",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN PROVIDER NUMBER DVILLE",
            "identifier": "4001093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN PROVIDER NUMBER MESQUITE",
            "identifier": "4001092",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008994801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA CARE FACILITY ID",
            "identifier": "646307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.