Active NPI
Marsha Mark, RDH
- Dental Hygienist
- Twentynine Palms, CA
National Provider Identifier
1447900519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 28865
- Practice address
- 1591 Griffin Rd
Twentynine Palms, CA 92277 - Phone
- (760) 830-7054
- NPI assigned
- Mar 24, 2022
- Last updated
- Mar 24, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 28865 | CA | Primary |
Addresses
Primary practice location
1591 Griffin Rd
Twentynine Palms, CA 92277
Mailing address
73411 Two Mile Rd
Twentynine Palms, CA 92277-1762
Phone (760) 808-4358
Other names 1
- Marsha Arizaga
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1447900519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73411 TWO MILE RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922771762",
"telephone_number": "760-808-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 GRIFFIN RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92277",
"telephone_number": "760-830-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "MARSHA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "28865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARSHA",
"last_name": "ARIZAGA",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.