Organization Active NPI

Marshall Dental Care

  • General Practice Dentistry
  • Marshall, VA
National Provider Identifier
1477072973
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARSHALL DENTAL CARE
Practice address
4199 Winchester Road
Suite H
Marshall, VA 20115
Phone
(540) 364-8040
Fax
(540) 364-8163
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Basiony Hagar, DDS
Title
Owner
Phone
(540) 364-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4199 Winchester Road
Suite H
Marshall, VA 20115

Mailing address

4199 Winchester Road
Suite H
Marshall, VA 20115
Phone (540) 364-8040

National Provider Directory

National Provider Directory

Locations

4199 Winchester Rd
Ste H
Marshall, VA 20115
Phone (540) 364-8040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1477072973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER ROAD",
            "address_2": "SUITE H",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "20115",
            "telephone_number": "540-364-8040",
            "fax_number": "540-364-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER ROAD",
            "address_2": "SUITE H",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "20115",
            "telephone_number": "540-364-8040",
            "fax_number": "540-364-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "BASIONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-364-8040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.