Organization Active NPI

Lloyd Marcum DDS Inc

  • Dentist
  • San Luis Obispo, CA
National Provider Identifier
1477542140
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32357 Issued in CA
Legal business name
LLOYD MARCUM DDS INC
Practice address
1129 Pacific St
San Luis Obispo, CA 93401-3301
Phone
(805) 541-8731
Fax
(805) 541-8047
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Lloyd H Marcum, DDS MSNPI 1700127073
Title
Pres
Phone
(805) 541-8231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 32357 CA Primary

Addresses

Primary practice location

1129 Pacific St
San Luis Obispo, CA 93401-3301

Mailing address

1129 Pacific St
San Luis Obispo, CA 93401-3301
Phone (805) 541-8731

National Provider Directory

National Provider Directory

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1477542140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013301",
            "telephone_number": "805-541-8731",
            "fax_number": "805-541-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013301",
            "telephone_number": "805-541-8731",
            "fax_number": "805-541-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD MARCUM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "805-541-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "32357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.