Marshall Valadez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019031171 Issued in IL

Practice address

1110 S Mulford Rd
Rockford, IL 61108-4213

Phone

(815) 398-3879

NPI assigned

Jun 19, 2017

Last updated

Jun 19, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mys - Rockford LLC

  • Dental Clinic/Center
  • Rockford, IL
  • NPI 1952771636
  NPD (past)
• Mys-Roscoe LLC

  dba maintain your smile

  • Dental Clinic/Center
  • Roscoe, IL
  • NPI 1073340766
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1336679786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084213",
            "telephone_number": "815-398-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "MARSHALL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khatija Mohammad Vaid, M.D
• Hannah Marie Vaiden, RN
• Saurabh Vaish, MD
• Paul T Vaitkus, MD
• Mitul Rohit Vakharia, MD
• Richard Anthony Valadez, M.D.
• Joseph A. Valaitis, MD
• Katrina Valencia
• Nirogh Glen Valentine, MD
• Aqil Valika

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.