Organization Active NPI

Marr Family Dentistry P.C.

  • Dentist
  • Greeley, CO
National Provider Identifier
1528283108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARR FAMILY DENTISTRY P.C.
Practice address
3705 W 12TH St
Greeley, CO 80634-2551
Phone
(970) 356-2605
NPI assigned
Apr 17, 2007
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. Kami Lu Marr, D.D.S
Title
Authorized Agent
Phone
(970) 356-2605

Specialties & licenses 1

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

Addresses

Primary practice location

3705 W 12TH St
Greeley, CO 80634-2551

Mailing address

3705 W 12TH St
Greeley, CO 80634-2551
Phone (970) 356-2605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528283108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342551",
            "telephone_number": "970-356-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342551",
            "telephone_number": "970-356-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARR FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "970-356-2605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

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.