C Marcello DDS, MSD, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

C MARCELLO DDS, MSD, LLC

Practice address

156 W Main St
Thibodaux, LA 70301-5216

Phone

(985) 446-3754

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Marcello, DDSNPI 1083097877

Title

Dentist

Phone

(985) 446-3754

Specialties & licenses 1

Addresses

Tax ID family

C Marcello DDS MSD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• C Marcello DDS, MSD, LLC

  • Pediatric Dentistry
  • Thibodaux, LA
  • NPI 1528704756
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christy Marcello, D.D.S.

  • Dentist
  • Thibodaux, LA
  • NPI 1083097877
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1396481529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W MAIN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015216",
            "telephone_number": "985-446-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W MAIN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015216",
            "telephone_number": "985-446-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C MARCELLO DDS, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "MARCELLO",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "985-446-3754",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Keith Bunn Jr., LPC
• Malori Burmeister, BA
• Kimberly Burton, MS
• Elizabeth Bybee, BA
• Jennifer Bynum
• C Marcello DDS, MSD, LLC
• Cadence of Acadiana, Inc.
• Cadence of Acadiana, Inc.
• Cadence of Acadiana, Inc.
• Cadence of Acadiana, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.