Individual provider Active NPI

Daniel Joseph Marshall

  • Customized Equipment (DME)
  • Ormond Beach, FL
National Provider Identifier
1164945713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Practice address
268 N Nova Rd
Ormond Beach, FL 32174-5124
Phone
(386) 675-6599
Fax
(386) 256-4989
NPI assigned
Jul 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

268 N Nova Rd
Ormond Beach, FL 32174-5124

Mailing address

268 N Nova Rd
Ormond Beach, FL 32174-5124
Phone (386) 675-6599

Other practice location 1

1633 Taylor Rd Unit 104
Port Orange, FL 32128-6754
Phone (386) 256-3510

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Design Eyewear., LLC Eyewear Supplier Current Accepting new patients
Dr. Jason Iannarelli P.a. PastSince Jul 24, 2022 Accepting new patients
Donald G. Purcell, O.D., P.a. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164945713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745124",
            "telephone_number": "386-675-6599",
            "fax_number": "386-256-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745124",
            "telephone_number": "386-675-6599",
            "fax_number": "386-256-4989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 Taylor Rd Unit 104",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321286754",
            "country_code": "US",
            "telephone_number": "386-256-3510",
            "fax_number": "386-265-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.