Marvin Payen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17016 Issued in MD

Practice address

2835 Smith Ave Ste a
Baltimore, MD 21209-1454

Phone

(410) 709-3293

NPI assigned

May 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellwood Family Dentistry LLC

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1437796802
  NPD

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1104483882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SLADE AVE APT 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091454",
            "telephone_number": "410-709-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYEN",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Pavlovich, M.D.
• Vera Pavlovich
• Irena S Pawlak-Tabor
• Maureen Pawlikowski
• Raven M Payad
• Damata Payida-Ansah, DNP, CRNP, FNP-BC
• Karla M Paylor, MD
• Ingrid Kohn Paymar, LCSW-C
• Payne Advanced Family Care LLC
• Payne Memorial Outreach, Inc.

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.