Richard James Marasco Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62572 Issued in CA

Practice address

1111 Civic Dr
Unit 145
Walnut Creek, CA 94596-3895

Phone

(925) 937-9017

NPI assigned

Jul 12, 2013

Last updated

May 19, 2016By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kain II DDS Inc

  dba Dental Care of Walnut Creek

  • Preferred Provider Organization
  • Walnut Creek, CA
  • NPI 1134374895
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1407297898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CANYON WOODS WAY",
            "address_2": "#B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824512",
            "telephone_number": "925-708-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIVIC DR",
            "address_2": "UNIT 145",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963895",
            "telephone_number": "925-937-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCO",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mar, MA, MFT
• Collin Mar, MD
• Susan Mar
• Mara G Johnson Marriage and Family Therapy Professional Corporation
• Marian Maradiaga
• Madelyn Marceau
• Mariya Marchenko
• Lorraine Joyll Marcinkowski, P.T.
• Antonio Margiotta, DMD
• Naomi Lizelle Mariano-Gadgode

• General Practice Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.