Individual provider Active NPI

Doris Elaine Marquis, D.M.D.

  • General Practice Dentistry
  • Fulton, MS
National Provider Identifier
1184784829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1984-82 Issued in MS
Practice address
6 Medical Park Dr.
Fulton, MS 38843-0429
Phone
(662) 862-7434
Fax
(662) 862-7435
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1984-82 MS Primary

Addresses

Primary practice location

6 Medical Park Dr.
Fulton, MS 38843-0429

Mailing address

6 Medical Park Dr.
P.O. Box 429
Fulton, MS 38843-0429
Phone (662) 862-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219000598 MS Order and Referring Only - DentistPractitioner - Dentist 8729389903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1984-82MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marquis Dental Center General Practice Past Accepting new patients
Atkins Dental LLC Past Accepting new patients

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184784829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR.",
            "address_2": "P.O. BOX 429",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388430429",
            "telephone_number": "662-862-7434",
            "fax_number": "662-862-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR.",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388430429",
            "telephone_number": "662-862-7434",
            "fax_number": "662-862-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "DORIS",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1984-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MS

Sources for this page

Verify at the official NPI Registry.