Kathleen Marinelli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13431271-9921 Issued in UT

Practice address

3740 South 14TH Street
Joint Base Lewis-McChord, WA 98433

Phone

(253) 967-5271

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1295417053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 LINCOLN STREET 2ND FLOOR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 SOUTH 14TH STREET",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-967-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "KATHLEEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13431271-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.a.marinelli3.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails and correspondence",
            "address_1": "3740 South 14th Street",
            "city": "Joint Base Lewis-McChord",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pooja Mahadevaswamy
• William Cooper Procter Maloney, DO
• Clayton Todd Manning, PHD
• Philippe Mansour, DMD
• Rowena V Marcelo, RN
• Mitchell T Marks, PA-C
• Devin Marsh, PH.D.
• Ian Christopher May, M.D.
• Katy L McCleery, D.O.
• Alina McGlothlin, RDH

• Dentist in Joint Base Lewis-McChord, WA
• Providers in Joint Base Lewis-McChord, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.