Active NPI
Daniel Joseph Marshall
- Customized Equipment (DME)
- Ormond Beach, FL
National Provider Identifier
1164945713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Design Eyewear., LLC | Eyewear Supplier | Current | Accepting new patients |
| Dr. Jason Iannarelli P.a. | Past | Accepting new patients | |
| Donald G. Purcell, O.D., P.a. | Past | 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.
-
- Eyewear Supplier
- Ormond Beach, FL
- NPI 1316539927
-
- Corneal and Contact Management Optometrist
- Daytona Beach, FL
- NPI 1932439395
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.