Organization Active NPI

Robert Neil Marley D.D.S., LTD

  • Dental Clinic/Center
  • Flora, IL
National Provider Identifier
1417023276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBERT NEIL MARLEY D.D.S., LTD
Practice address
121 W 2ND St
Flora, IL 62839-1606
Phone
(618) 662-4151
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Neil Marley, D.D.S.NPI 1568725091
Title
President
Phone
(618) 662-4151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

121 W 2ND St
Flora, IL 62839-1606

Mailing address

121 W 2ND St
Flora, IL 62839-1606
Phone (618) 662-4151

National Provider Directory

National Provider Directory

Locations

121 W 2nd St
Flora, IL 62839
Phone (618) 662-4151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417023276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 2ND ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391606",
            "telephone_number": "618-662-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 2ND ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391606",
            "telephone_number": "618-662-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT NEIL MARLEY D.D.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-662-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.