E Gordon Marshall Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14332 Issued in TX

Practice address

18 South Main
Suite 516
Temple, TX 76501

Phone

(254) 778-3932

Fax

(254) 778-0098

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245390830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOUTH MAIN",
            "address_2": "SUITE 516",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76501",
            "telephone_number": "254-778-3932",
            "fax_number": "254-778-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SOUTH MAIN",
            "address_2": "SUITE 516",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76501",
            "telephone_number": "254-778-3932",
            "fax_number": "254-778-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "E",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlandwood West SCC LLC
• Blake Marmie, MD
• Sean Marmolejo, LCSW
• Shamaeka Marshall-Gilmore, NP
• Cheyenne Noel Marshall, FNP
• Danielle Martin
• Emory Spencer Martin III, PHARMD
• Hunter Christian Martin, DO
• Joseph E. Martin Jr., D.P.M.
• Joseph Zed Martin, CRNA

• General Practice Dentistry in Temple, TX
• Providers in Temple, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.