Casey Durane Marlatt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4837 Issued in ID

Practice address

1353 N Meridian Rd Ste 101
Kuna, ID 83634-1310

Phone

(539) 539-0740

NPI assigned

Jun 1, 2017

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

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1366970469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 N CORTONA WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463187",
            "telephone_number": "509-539-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N MERIDIAN RD STE 101",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341310",
            "telephone_number": "539-539-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLATT",
        "first_name": "CASEY",
        "middle_name": "DURANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Care LLC
• Jennifer Monette Logan, LMFT
• Britney Noelle Lopez
• Greg Maloney, PA
• Robert Brandon Markham, LPC
• McKinley Marlowe, PA-C
• Kylie McClanahan, RDN, LD
• Molly M McCormick, DO
• Claudette Coughenour McDaniel, LM CPM
• Megan Cory McIntyre, PA-C

• General Practice Dentistry in Kuna, ID
• Providers in Kuna, ID by specialty
• General Practice Dentistry in Idaho

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