Active NPI
Jordan Marcus Marsh, DDS
- Dentist
- Cabot, AR
National Provider Identifier
1427642909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00000000000000000000
- Practice address
- 58 Cossatot Cir
Cabot, AR 72023-9706 - Phone
- (501) 259-5242
- NPI assigned
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00000000000000000000 | TN | Primary |
Addresses
Primary practice location
58 Cossatot Cir
Cabot, AR 72023-9706
Mailing address
58 Cossatot Cir
Cabot, AR 72023-9706
Phone (501) 259-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000000 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1427642909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 COSSATOT CIR",
"city": "CABOT",
"state": "AR",
"postal_code": "720239706",
"telephone_number": "501-259-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 COSSATOT CIR",
"city": "CABOT",
"state": "AR",
"postal_code": "720239706",
"telephone_number": "501-259-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "JORDAN",
"middle_name": "MARCUS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "00000000000000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.