Active NPI
Donnie Leith Marsh-Filipczak, D.M.D.
- Dentist
- Pensacola, FL
National Provider Identifier
1316043474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0014619 | Other | FL | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230817000162 | FL | Order and Referring Only - Dentist | 1658794581 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14619 | FL | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.