NPIMap

Organization Active NPI

Marshall Family Dentistry

  • General Practice Dentistry
  • Port Charlotte, FL
National Provider Identifier
1528071305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0011485 Issued in FL
Legal business name
MARSHALL FAMILY DENTISTRY
Practice address
3443 Tamiami TRL
Suite F
Port Charlotte, FL 33952-8159
Phone
(941) 629-8187
Fax
(941) 629-2498
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip Lewis Marshall, DMDNPI 1124129531
Title
Dentist/Partner
Phone
(941) 629-8187

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0011485 FL Primary

Addresses

Primary practice location

3443 Tamiami TRL
Suite F
Port Charlotte, FL 33952-8159

Mailing address

3443 Tamiami TRL
Suite F
Port Charlotte, FL 33952-8159
Phone (941) 629-8187

National Provider Directory

National Provider Directory

Locations

3443 Tamiami Trl
Ste F
Pt Charlotte, FL 33952
Phone (941) 629-8187

Practitioners & affiliated clinicians

Practitioners 3

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528071305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 TAMIAMI TRL",
            "address_2": "SUITE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528159",
            "telephone_number": "941-629-8187",
            "fax_number": "941-629-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 TAMIAMI TRL",
            "address_2": "SUITE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528159",
            "telephone_number": "941-629-8187",
            "fax_number": "941-629-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "941-629-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.