Brian a. Marrillia DMD, PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7549 Issued in KY

Legal business name

BRIAN A. MARRILLIA DMD, PSC

Practice address

6788 Dixie Hwy
Louisville, KY 40258-3912

Phone

(502) 935-1414

Fax

(502) 935-1795

NPI assigned

May 14, 2007

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian A Marrillia, DMDNPI 1952446023

Title

President

Phone

(502) 935-1414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian A Marrillia, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1952446023
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1437365087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6788 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583912",
            "telephone_number": "502-935-1414",
            "fax_number": "502-935-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6788 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583912",
            "telephone_number": "502-935-1414",
            "fax_number": "502-935-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. MARRILLIA DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MARRILLIA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-935-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Brewster, MA
• Caitlin Ann Brey, CRNA
• Jennifer M Brey, MD
• Juan M Breyer, MD
• Emily N Brezler
• Brian Anderson, DC, LLC (Kentucky Injury Chiropractic & Rehabilitation, LLC)
• Brian J Vanderploeg, OD, PLLC
• Brian McLean, PLLC
• Brian S Yost, PLLC (Kentucky Family Chiropractic East Louisville)
• Brian T Przystawski, DPM, PCS

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.