Organization Active NPI

Alan D. Marcotte DDS

  • General Practice Dentistry
  • Winfield, KS
National Provider Identifier
1194790873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6511 Issued in KS
Legal business name
ALAN D. MARCOTTE DDS
Practice address
810 Main St
Winfield, KS 67156-2835
Phone
(620) 221-7737
Fax
(620) 221-2351
NPI assigned
Feb 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Douglas Marcotte, DDSNPI 1528038551
Title
Owner
Phone
(620) 221-7737

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
General Practice Dentistry 1223G0001X 6511 KS Primary

Addresses

Primary practice location

810 Main St
Winfield, KS 67156-2835

Mailing address

810 Main St
Winfield, KS 67156-2835
Phone (620) 221-7737

Other identifiers 3

IdentifierTypeStateIssuer
17259OtherKSBCBS GROUP ID
19308OtherKSBCBS INDIVIDUAL ID
3960OtherKSDELTA DENTAL ID

National Provider Directory

National Provider Directory

Locations

810 Main St
Winfield, KS 67156
Phone (620) 221-7737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194790873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562835",
            "telephone_number": "620-221-7737",
            "fax_number": "620-221-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562835",
            "telephone_number": "620-221-7737",
            "fax_number": "620-221-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D. MARCOTTE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-221-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "17259",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "19308",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL ID",
            "identifier": "3960",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.