Individual provider Active NPI

Marcia Adams Durkan, DMD

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1437111754
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18759 Issued in FL
Practice address
9874 Yamato Rd Ste 116
Boca Raton, FL 33434-5552
Phone
(561) 488-1688
Fax
(561) 477-1002
NPI assigned
Apr 3, 2006
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021845 PA
General Practice Dentistry 1223G0001X DN18759 FL Primary

Addresses

Primary practice location

9874 Yamato Rd Ste 116
Boca Raton, FL 33434-5552

Mailing address

9874 Yamato Rd Ste 116
Boca Raton, FL 33434-5552
Phone (561) 488-1688

Other identifiers 13

IdentifierTypeStateIssuer
0008633180013MedicaidPA
0008633180018MedicaidPA
0008633180020MedicaidPA
0008633180015MedicaidPA
0008633180019MedicaidPA
0008633180006MedicaidPA
0008633180004MedicaidPA
0008633180005MedicaidPA
0008633180017MedicaidPA
0008633180007MedicaidPA
0008633180003MedicaidPA
0008633180008MedicaidPA
0008633180016MedicaidPA

Other names 1

  • Dr. Marcia Adams Muzzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160218001526 FL Order and Referring Only - DentistPractitioner - Dentist 3870898448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS021845PAMDDentist
DN18759FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of West Boca Raton, PLLC Dentist PastSince Aug 29, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1437111754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9874 YAMATO RD STE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345552",
            "telephone_number": "561-488-1688",
            "fax_number": "561-477-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9874 YAMATO RD STE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345552",
            "telephone_number": "561-488-1688",
            "fax_number": "561-477-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKAN",
        "first_name": "MARCIA",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021845",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180018",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008633180016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "MUZZI",
            "middle_name": "ADAMS",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.