Marjorie Mae Cabell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013316A Issued in IN

Practice address

400 E Diamond Ave
Evansville, IN 47711-3714

Phone

(812) 461-2365

Fax

(812) 461-2366

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kool Smiles in-3, PC

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1831284439
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1477518942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E DIAMOND AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113714",
            "telephone_number": "812-461-2365",
            "fax_number": "812-461-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E DIAMOND AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113714",
            "telephone_number": "812-461-2365",
            "fax_number": "812-461-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Bear Creek Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302281864",
            "country_code": "US",
            "telephone_number": "770-707-7905",
            "fax_number": "770-707-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABELL",
        "first_name": "MARJORIE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029852L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013492",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013492",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013316A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Byland III
• Jenna Leigh Byrley, DPT
• Anne L Byrne, PT
• Joan Kimberly Byrne, D.C.
• Matthew Christopher Byrnes, MD
• Juan C Cabrera Jr., MD
• Gabriel Dean Cabrillas, LCSW
• Trisha Johnson Cahill, DDS
• Alyssa Caldwell
• Antoinette Caldwell, M.D.

• General Practice Dentistry in Evansville, IN
• Providers in Evansville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.