Individual provider Active NPI

Donnie Leith Marsh-Filipczak, D.M.D.

  • Dentist
  • Pensacola, FL
National Provider Identifier
1316043474
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14619 Issued in FL
Practice address
8390 N Palafox St
Pensacola, FL 32534-3735
Phone
(850) 988-5245
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14619 FL Primary

Addresses

Primary practice location

8390 N Palafox St
Pensacola, FL 32534-3735

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 300-4440

Other practice location 1

1825 Hurlburt Rd Ste 14
Fort Walton Beach, FL 32547-3737
Phone (850) 610-8820

Other identifiers 1

IdentifierTypeStateIssuer
DN0014619OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230817000162 FL Order and Referring Only - DentistPractitioner - Dentist 1658794581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN14619FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1316043474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-300-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343735",
            "telephone_number": "850-988-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Hurlburt Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325473737",
            "country_code": "US",
            "telephone_number": "850-610-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH-FILIPCZAK",
        "first_name": "DONNIE",
        "middle_name": "LEITH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DN0014619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.