Active NPI
Trevor Scott Marshall, DDS
- Dentist
- Baltimore, MD
National Provider Identifier
1154597169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13819
- Practice address
- 300 E Madison St
Baltimore, MD 21202-4260 - Phone
- (410) 209-4404
- NPI assigned
- Apr 30, 2008
- 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 | 13819 | MD | Primary |
Addresses
Primary practice location
300 E Madison St
Baltimore, MD 21202-4260
Mailing address
1 New Forest CT
Towson, MD 21286-1741
Phone (410) 296-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13819 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1154597169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NEW FOREST CT",
"city": "TOWSON",
"state": "MD",
"postal_code": "212861741",
"telephone_number": "410-296-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MADISON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024260",
"telephone_number": "410-209-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "TREVOR",
"middle_name": "SCOTT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.