Peter Thomas Marsho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09421 Issued in IA

Practice address

825 Broad St
Grinnell, IA 50112-2153

Phone

(641) 236-6169

NPI assigned

Jun 19, 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

Practice roles

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

• Family Dentistry, LLP

  • General Practice Dentistry
  • Grinnell, IA
  • NPI 1730217654
  NPD (past) Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407386741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122153",
            "telephone_number": "641-236-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122153",
            "telephone_number": "641-236-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Washington St",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "IA",
            "postal_code": "523477778",
            "country_code": "US",
            "telephone_number": "319-647-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHO",
        "first_name": "PETER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Lyons
• Andrew Lyons, OT
• Trudy Ellen Magurshak, LISW
• Maddison Ann Jansen Major, PT, DPT
• Christopher J Marsho, DDS
• Matthew C. McKnight, DPM, P.C.
• Matthew McKnight DPM, PC
• Matthew McKnight DPM, PC
• Mayflower Homes, Inc.
• Mayflower Homes, Inc.

• General Practice Dentistry in Grinnell, IA
• Providers in Grinnell, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.