Organization Active NPI

David T. Marshall, DDS, PC

Doing business as a division of Atlantic Dental Care

  • Dentist
  • Norfolk, VA
National Provider Identifier
1184961690
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007417 Issued in VA
Legal business name
DAVID T. MARSHALL, DDS, PC
Doing business as
a division of Atlantic Dental Care
Practice address
110 Kingsley LN
Suite 203
Norfolk, VA 23505-4614
Phone
(757) 489-4221
Fax
(757) 423-5930
NPI assigned
Jan 4, 2013
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. David Trout Marshall, DDSNPI 1255521084
Title
Dentist
Phone
(757) 489-4221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401007417 VA Primary

Addresses

Primary practice location

110 Kingsley LN
Suite 203
Norfolk, VA 23505-4614

Mailing address

110 Kingsley LN
Suite 203
Norfolk, VA 23505-4614
Phone (757) 489-4221

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1184961690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 203",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-489-4221",
            "fax_number": "757-423-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 203",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-489-4221",
            "fax_number": "757-423-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. MARSHALL, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TROUT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-489-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.