Christian D Marsh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6245-15 Issued in WI

Practice address

325 E Main St
Winneconne, WI 54986-9703

Phone

(920) 582-4343

NPI assigned

Jun 10, 2008

Last updated

Jan 1, 2014By the provider in NPPES

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 WI

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.

• Waushara Dental Associates S.C.

  • General Practice Dentistry
  • Wautoma, WI
  • NPI 1649382946
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388534400000",
    "number": "1316107717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "address_2": "PO BOX 490",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869703",
            "telephone_number": "920-582-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869703",
            "telephone_number": "920-582-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "CHRISTIAN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6245-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kellogg, D.C.
• Jennifer Krause
• Kathleen Helen Larson, MS, OTR
• Kimberly Lewis, LCSW, CSAC
• Loyda O Loria, MD
• McGinnis Chiropractic Health Clinic
• McGinnis Chiropractic Office Inc
• Michael James McGinnis, DC
• Samuel John Edward McGinnis, D.C.
• Whitney Louise McMullin, CRNA

• Dentist in Winneconne, WI
• Providers in Winneconne, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.