Individual provider Active NPI

Joseph B. Marino Jr., D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1487874905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3433 Issued in LA
Practice address
7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453
Phone
(504) 282-5557
Fax
(504) 286-0038
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3433 LA Primary

Addresses

Primary practice location

7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453

Mailing address

7037 Canal Blvd
Suite 210
New Orleans, LA 70124-3453
Phone (504) 282-5557

Other identifiers 4

IdentifierTypeStateIssuer
578120OtherLAUCCI
116446OtherLACIGNA HMO
67024104OtherLABC BS OF AL
07210102681OtherLABC BS OF RI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20160208001062 LA Order and Referring Only - DentistPractitioner - Dentist 1850695180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Delahoussaye DDS a Professional Dental Corporation General Practice Past Accepting new patients
Joseph B. Marino, Jr. D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487874905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 CANAL BLVD",
            "address_2": "SUITE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243453",
            "telephone_number": "504-282-5557",
            "fax_number": "504-286-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 CANAL BLVD",
            "address_2": "SUITE 210",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243453",
            "telephone_number": "504-282-5557",
            "fax_number": "504-286-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "578120",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "116446",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "67024104",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF RI",
            "identifier": "07210102681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.