Andrew Herod Marshall, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7791 Issued in TN

Practice address

110 McMurry Blvd
Hartsville, TN 37074-1108

Phone

(615) 374-9181

Fax

(615) 374-9187

NPI assigned

Oct 26, 2005

Last updated

Jul 24, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

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

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.

• Hartsville Dental Care

  • Dental Clinic/Center
  • Hartsville, TN
  • NPI 1679915177
  NPD (past) Authorized official
• Westmoreland Dental Care

  • Dental Clinic/Center
  • Westmoreland, TN
  • NPI 1346672862
  NPD (past) Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1407846975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MCMURRY BLVD",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741108",
            "telephone_number": "615-374-9181",
            "fax_number": "615-374-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MCMURRY BLVD",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741108",
            "telephone_number": "615-374-9181",
            "fax_number": "615-374-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ANDREW",
        "middle_name": "HEROD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440279",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Lou Langford, BCBA
• Kelli Michelle Ledbetter, APRN
• Livingston Family Practice, PLLC
• Amanda S Livingston, NP-C
• William D Lyles Jr., MD
• Stacy Amanda Morris, DO
• Matthew Wayne Moses, PHARM.D.
• Nursing Centers Unlimited Inc (Hartsville Convalescent Center)
• Suzanne Oliver, PHARM.D.
• Billy Follis Painter, R.PH.

• General Practice Dentistry in Hartsville, TN
• Providers in Hartsville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.