Mariel Cotton

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002798 Issued in IL

Practice address

840 Admiral Weinel Blvd
Columbia, IL 62236-1992

Phone

(618) 281-2929

NPI assigned

May 16, 2017

Last updated

May 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Avc Optometry Inc

  • Optometrist
  • Columbia, IL
  • NPI 1982348587
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1164959524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GREENFIELD PL APT 311",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697299",
            "telephone_number": "815-540-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ADMIRAL WEINEL BLVD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361992",
            "telephone_number": "618-281-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "MARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2017005019",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Family Chiropractic, PLLC
• Columbia Orthodontics
• Columbia Rehab Specialists, LLC
• Columbia Rehabilitation and Nursing Center, LLC
• Ashley Nicole Conway
• Rick D. Cox, DMD
• Carrie Leigh Dachsteiner, RDN
• Carrie A Daigle, MD
• Laurie Dauphin, RPH
• Deaconess Illinois Clinic, Inc (Deaconess IL Clinic Eleven S)

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, IL
• Providers in Columbia, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.