Organization Active NPI

John P. Marshall DDS,PC

  • General Practice Dentistry
  • Sheridan, MI
National Provider Identifier
1164036893
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN P. MARSHALL DDS,PC
Practice address
215 S Center St
Sheridan, MI 48884-9301
Phone
(989) 291-3302
Fax
(989) 291-3078
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
John Preston Marshall, DDS
Title
Doctor
Phone
(989) 291-3302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

215 S Center St
Sheridan, MI 48884-9301

Mailing address

PO Box 408
Sheridan, MI 48884-0408
Phone (989) 291-3302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1164036893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488840408",
            "telephone_number": "989-291-3302",
            "fax_number": "989-291-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S CENTER ST",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488849301",
            "telephone_number": "989-291-3302",
            "fax_number": "989-291-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. MARSHALL DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "989-291-3302",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.