Individual provider Active NPI

Marie Corinne G'Sell, D.D.S.

  • General Practice Dentistry
  • Carroll, IA
National Provider Identifier
1407055478
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8449 Issued in IA
Practice address
1406 N US Highway 71
Box 97
Carroll, IA 51401-3344
Phone
(712) 792-2528
Fax
(712) 792-5547
NPI assigned
Jul 11, 2007
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8449 IA Primary

Addresses

Primary practice location

1406 N US Highway 71
Box 97
Carroll, IA 51401-3344

Mailing address

830 Maxwell Dr
Carroll, IA 51401-3296
Phone (712) 775-2198

Other names 1

  • Dr. Marie Corinne Halbur Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8449IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1407055478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MAXWELL DR",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013296",
            "telephone_number": "712-775-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N US HIGHWAY 71",
            "address_2": "BOX 97",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013344",
            "telephone_number": "712-792-2528",
            "fax_number": "712-792-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "G'SELL",
        "first_name": "MARIE",
        "middle_name": "CORINNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "HALBUR",
            "middle_name": "CORINNE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.