Individual provider Active NPI

Marshall Ray May, D.D.S.

  • Dentist
  • Troup, TX
National Provider Identifier
1104131838
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25796 Issued in TX
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

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001128 TX Order and Referring Only - Other (Physician)Practitioner - 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

Verify at the official NPI Registry.