Marlin Family Dentistry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MARLIN FAMILY DENTISTRY

Doing business as

Marlin Family Dentistry

Practice address

110 Church St
Marlin, TX 76661-2809

Phone

(254) 883-3070

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Vani Pavan, MS

Title

Dentist

Phone

(254) 883-3070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marlin Family Dentistry Doing business as

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hearne Family Dentistry

  • Periodontics
  • Hearne, TX
  • NPI 1699339218
  NPPES parent name

Practitioners 1

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

• James Austin Bryan, DDS

  • General Practice Dentistry
  • Marlin, TX
  • NPI 1437206059
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1205490257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612809",
            "telephone_number": "254-883-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612809",
            "telephone_number": "254-883-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "PAVAN",
        "authorized_official_first_name": "VANI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "254-883-3070",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053657494",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.marlinfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "secure portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Intraction",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Church St",
            "city": "Marlin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766612809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marlin Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marlin Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianne B. Johnson, RD, LD
• Sylvia Johnson
• Mari Gayle Kall, PTA
• Lisa Lankford
• Carolyn Lofton, MSW, LCSW
• Marlin Isd
• Marlin Nursing and Rehab Center LLC
• Sarah Mason, LPC
• Earlletha Milton
• Nurse-Con Corporation

• Periodontics in Marlin, TX
• Providers in Marlin, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.