John D Marin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM443 Issued in AZ

Practice address

7156 E Grass Land Dr
Prescott Valley, AZ 86314-1940

Phone

(928) 772-7450

Fax

(928) 772-7450

NPI assigned

Sep 26, 2006

Last updated

Feb 4, 2021By 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 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1437250701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26790",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863126790",
            "telephone_number": "928-772-7450",
            "fax_number": "928-772-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7156 E GRASS LAND DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141940",
            "telephone_number": "928-772-7450",
            "fax_number": "928-772-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "DPM443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0191930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333899",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR COMMERCIAL",
            "identifier": "860820843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick James Mahaney, MD
• Crystal Marie Makinson
• Harold Martin Maller, MD
• Demitra T Manjoros, M.D.
• Heather Mann, LMT
• Markle & More Inc
• Richard Charles Martin, RPH
• Sara Martin, LMT, MSACN
• Songhui Martin, RN, PA
• Alejandro Martinez Jr.

• Foot & Ankle Surgery Podiatrist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.