Organization Active NPI

Liliana Marshall DMD PLLC

  • General Practice Dentistry
  • Palm Bay, FL
National Provider Identifier
1083974901
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17553 Issued in FL
Legal business name
LILIANA MARSHALL DMD PLLC
Practice address
2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044
Phone
(321) 723-2620
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Liliana M Marshall, D.M.DNPI 1013093491
Title
Owner
Phone
(321) 723-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN17553 FL Primary

Addresses

Primary practice location

2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044

Mailing address

2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044
Phone (321) 723-2620

National Provider Directory

National Provider Directory

Locations

2186 Harris Ave NE
Ste 3
Palm Bay, FL 32905
Phone (321) 723-2620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1083974901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-723-2620",
            "fax_number": "321-722-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-723-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIANA MARSHALL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-723-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.