Gary Richard Marshall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006375 Issued in WA

Practice address

1610 NE 179TH St
Shoreline, WA 98155-3965

Phone

(206) 365-1557

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376607754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 NE 179TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553965",
            "telephone_number": "206-365-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NE 179TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553965",
            "telephone_number": "206-365-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherina Macandog Marcelo, HCA
• Kristi Jill Marion
• Marisa E Delisle, DC PS
• Charia A Markos, D.C.
• Karleen Michael Mars Tamte
• Cheryl Martin, COTA
• Meredith Grace Martin, MHP, MSW, LICSW
• Michelle L Martin, OT
• Carrie Lynn Martinez, LPC
• Diego Martinez, CDPT

• General Practice Dentistry in Shoreline, WA
• Providers in Shoreline, WA by specialty
• General Practice Dentistry in Washington

• 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.

Verify at the official NPI Registry.