Jay D Marriage DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2104 Issued in NV

Legal business name

JAY D MARRIAGE DDS

Practice address

1700 County Rd
Suite B
Minden, NV 89423

Phone

(775) 782-4525

Fax

(775) 782-4525

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jay D Marriage, DDS

Title

Dentist

Phone

(775) 782-4525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1316167406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COUNTY RD",
            "address_2": "SUITE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "89423",
            "telephone_number": "775-782-4525",
            "fax_number": "775-782-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COUNTY RD",
            "address_2": "SUITE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "89423",
            "telephone_number": "775-782-4525",
            "fax_number": "775-782-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D MARRIAGE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MARRIAGE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "775-782-4525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "2104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Minden, NV
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.