Active NPI
Vincent John Marino, DDS
- Dentist
- Harlingen, TX
National Provider Identifier
1346336344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12304
- Practice address
- 727 N 77 Sunshine Strip
Harlingen, TX 78550-8847 - Phone
- (956) 428-5691
- Fax
- (956) 428-3057
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 12304 | TX | Primary |
Addresses
Primary practice location
727 N 77 Sunshine Strip
Harlingen, TX 78550-8847
Mailing address
727 N 77 Sunshine Strip
Harlingen, TX 78550-8847
Phone (956) 428-3691
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B12304-1 | Other | DELTA CHIP | |
| 797154 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346336344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 N 77 SUNSHINE STRIP",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508847",
"telephone_number": "956-428-3691",
"fax_number": "956-428-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N 77 SUNSHINE STRIP",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508847",
"telephone_number": "956-428-5691",
"fax_number": "956-428-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "VINCENT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "12304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA CHIP",
"identifier": "B12304-1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "797154",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.