Tyson E Marrs, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30084 Issued in IA

Practice address

3700 W 83Rd St
Suite 203
Prairie Village, KS 66208-5120

Phone

(913) 381-5194

Fax

(913) 381-5215

NPI assigned

May 17, 2007

Last updated

Jul 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2010 through Jan 1, 2028

Medicare enrollment (NPD)

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.

• Oral & Facial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Prairie Village, KS
  • NPI 1023027836
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1174730097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 203",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085120",
            "telephone_number": "913-381-5194",
            "fax_number": "913-381-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 203",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085120",
            "telephone_number": "913-381-5194",
            "fax_number": "913-381-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRS",
        "first_name": "TYSON",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "30084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Mall
• Annette S. Manion, O.D.
• Meredith Mann
• Tracie Brooke Mann, M.A., BCBA
• Kaylee Grace Marler, OTD
• Patricia L Martell, LCSW
• Judy K. Martin, M.D.
• Riley Elizabeth Martin, CF-SLP
• Gerald Lee Martincich, D.D.S.
• Nicholas Martinez, RBT

• Oral and Maxillofacial Surgery (Dentist) in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.