Active NPI
John A Marshall, D.M.D
- Oral and Maxillofacial Pathology Dentistry
- Fall River, MA
National Provider Identifier
1154331395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 18730
- Practice address
- 180 Elsbree Street
Fall River, MA 02720 - Phone
- (508) 672-1069
- Fax
- (508) 672-3848
- NPI assigned
- Aug 9, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 18730 | MA | Primary |
Addresses
Primary practice location
180 Elsbree Street
Fall River, MA 02720
Mailing address
180 Elsbree Street
Fall River, MA 02720
Phone (508) 672-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Tufts University School of Dental Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Elsbree St
Fall River, MA 02720-7212
Phone (508) 672-1069
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18730 | MA | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Dental Surgeons of Fall River, PC | Oral and Maxillofacial Pathology | Current | Accepting new patients |
Locations
337 Linden St
Fall River, MA 02720
Phone (508) 567-1414
180 Elsbree St
Fall River, MA 02720
Phone (508) 672-1069
516 Hawthorn St
Ste 1
North Dartmouth, MA 02747
Phone (508) 992-0339
Interoperability endpoints
- jmarshall11188@direct.bmc.masshiway.net
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Fall River, MA
- NPI 1609886720
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1154331395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ELSBREE STREET",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-672-1069",
"fax_number": "508-672-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 ELSBREE STREET",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-672-1069",
"fax_number": "508-672-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JOHN",
"middle_name": "A",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MA",
"license": "18730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.