Active NPI
Marshall Ray May, D.D.S.
- Dentist
- Troup, TX
National Provider Identifier
1104131838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25796
- Practice address
- 1303 W Duval St
Troup, TX 75789-1509 - Phone
- (903) 842-4600
- Fax
- (903) 842-2200
- NPI assigned
- Aug 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25796 | TX | Primary |
Addresses
Primary practice location
1303 W Duval St
Troup, TX 75789-1509
Mailing address
1303 W Duval St
Troup, TX 75789-1509
Phone (903) 842-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506001128 | TX | Order and Referring Only - Other (Physician) | 0446559835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1104131838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 W DUVAL ST",
"city": "TROUP",
"state": "TX",
"postal_code": "757891509",
"telephone_number": "903-842-4600",
"fax_number": "903-842-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 W DUVAL ST",
"city": "TROUP",
"state": "TX",
"postal_code": "757891509",
"telephone_number": "903-842-4600",
"fax_number": "903-842-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "MARSHALL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troup, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.