Marilyn R. Geni, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008429 Issued in CT

Practice address

15 Imperial Ave
Westport, CT 06880-4302

Phone

(203) 227-2520

Fax

(203) 454-8710

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Marilyn Geni Blaney Other name

Medicare fee-for-service enrollment

Enrolled in CT

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.

• Imperial Dental Assoc., PC

  • General Practice Dentistry
  • Westport, CT
  • NPI 1669795381
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508912445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BROOKLAWN DR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801511",
            "telephone_number": "203-222-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804302",
            "telephone_number": "203-227-2520",
            "fax_number": "203-454-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENI",
        "first_name": "MARILYN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "BLANEY",
            "middle_name": "GENI",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gastroenterology and Internal Medicine of Westport PC
• Alyssa Gatto, CCC-SLP
• Daniel Gazaille, DPT
• Debra Ann Geiger, EDD, PMHNP-BC, APRN
• Jonathan David Geller, MSW
• Stephan Genovese Jr., LPC
• Andrew Joseph Gentile, PHD
• Andrew S Gentile, PHD
• Matthew George
• Thomas Anthony George, MS RPT

• General Practice Dentistry in Westport, CT
• Providers in Westport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.