Individual provider Active NPI

Joseph G Marcius, DDS

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1154545598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16153 Issued in OH
Practice address
1690 Brittain Rd
Akron, OH 44310-2722
Phone
(330) 633-7141
Fax
(330) 633-8837
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 16153 OH Primary

Addresses

Primary practice location

1690 Brittain Rd
Akron, OH 44310-2722

Mailing address

1690 Brittain Rd
Akron, OH 44310-2722
Phone (330) 633-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170106000942 OH Order and Referring Only - DentistPractitioner - Dentist 8729369749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16153OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154545598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BRITTAIN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102722",
            "telephone_number": "330-633-7141",
            "fax_number": "330-633-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BRITTAIN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102722",
            "telephone_number": "330-633-7141",
            "fax_number": "330-633-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIUS",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.