Active NPI
William J. Marweg, DDS
- Endodontics
- Stockton, CA
National Provider Identifier
1447359294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 37583
- Practice address
- 3427 Deer Park Dr
Suite a
Stockton, CA 95219-2355 - Phone
- (209) 478-2252
- Fax
- (209) 478-1231
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 37583 | CA | Primary |
Addresses
Primary practice location
3427 Deer Park Dr
Suite a
Stockton, CA 95219-2355
Mailing address
3427 Deer Park Dr
Suite a
Stockton, CA 95219-2355
Phone (209) 478-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615002446 | CA | Order and Referring Only - Oral Surgery | 8628218864 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37583 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447359294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 DEER PARK DR",
"address_2": "SUITE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192355",
"telephone_number": "209-478-2252",
"fax_number": "209-478-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 DEER PARK DR",
"address_2": "SUITE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192355",
"telephone_number": "209-478-2252",
"fax_number": "209-478-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARWEG",
"first_name": "WILLIAM",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "37583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.