Individual provider Active NPI

Michael Stephen Marmo, D.M.D.

  • Endodontics
  • Newtown, PA
National Provider Identifier
1093722639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS029528L Issued in PA
Practice address
660 Newtown Yardley Rd
Suite 103
Newtown, PA 18940-1759
Phone
(215) 497-4977
Fax
(215) 497-8858
NPI assigned
Aug 2, 2006
Sex
Male
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
Endodontics 1223E0200X DS029528L PA Primary

Addresses

Primary practice location

660 Newtown Yardley Rd
Suite 103
Newtown, PA 18940-1759

Mailing address

660 Newtown Yardley Rd
Suite 103
Newtown, PA 18940-1759
Phone (215) 497-4977

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
DS029528LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093722639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 103",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401759",
            "telephone_number": "215-497-4977",
            "fax_number": "215-497-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 103",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401759",
            "telephone_number": "215-497-4977",
            "fax_number": "215-497-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMO",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS029528L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

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.