Marvin M. Taragin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011504 Issued in MI

Practice address

46890 Dequindre Rd
Shelby Township, MI 48317-3819

Phone

(586) 731-3950

NPI assigned

Feb 18, 2007

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 MI

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

State licenses

Practice roles

Locations

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.

• Marvin M. Taragin DDS PC

  • Dental Clinic/Center
  • Shelby Township, MI
  • NPI 1831821131
  NPD Authorized official
• Barclay Dental East PLLC

  • General Practice Dentistry
  • Shelby TWP, MI
  • NPI 1679252480
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1407990880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46890 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173819",
            "telephone_number": "586-731-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46890 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173819",
            "telephone_number": "586-731-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAGIN",
        "first_name": "MARVIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NO.",
            "identifier": "11504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Talbot
• Nora E Tandy
• Evan Tangalos, DDS
• Labrene Tangalos, PA-C
• Steven M Taormina, D.O.
• Ionee Tarriman
• Kenesha Taylor, LPC
• Kalen Tchorzynski
• Edvin Telemi
• Donna M Termini, LMSW

• General Practice Dentistry in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.