Danielle Jo Marlett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61458334 Issued in WA

Practice address

22905 56TH Ave W Ste 101
Mountlake Terrace, WA 98043-3925

Phone

(425) 776-2323

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Jo Davis Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

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.

• Kathryn L Jagow, DDS

  • General Practice Dentistry
  • Mountlake Terrace, WA
  • NPI 1801340187
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1215617766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 76TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707885",
            "telephone_number": "425-350-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22905 56TH AVE W STE 101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433925",
            "telephone_number": "425-776-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLETT",
        "first_name": "DANIELLE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61458334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DAVIS",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Mahoney, M. ED., BCBA
• Adam R Main, PTA
• David Maldonado, DPT
• Mary Katherine Maloy, LMSW
• Linda Ann Mantz-Simmons, LMFT
• Scout Renee Marohn
• Karissa Marrs
• Yurushka Martin
• Diego Jesus Martinez
• Mami Masuda

• General Practice Dentistry in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.