Active NPI
Douglas P Marinak, D.D.S.
- Dentist
- Camp Hill, PA
National Provider Identifier
1154597334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS018402L
- Practice address
- 19 S 22ND St
Camp Hill, PA 17011-4603 - Phone
- (717) 737-7422
- NPI assigned
- May 7, 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 | DS018402L | PA | Primary |
Addresses
Primary practice location
19 S 22ND St
Camp Hill, PA 17011-4603
Mailing address
19 S 22ND St
Camp Hill, PA 17011-4603
Phone (717) 737-7422
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marinak & Glossner DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Camp Hill, PA
- NPI 1831122845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1154597334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 S 22ND ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114603",
"telephone_number": "717-737-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 S 22ND ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114603",
"telephone_number": "717-737-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINAK",
"first_name": "DOUGLAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS018402L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.