Organization Active NPI

Julio C Marin Jr DDS LLC

  • Dental Clinic/Center
  • Slidell, LA
National Provider Identifier
1538804331
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JULIO C MARIN JR DDS LLC
Practice address
640 Brownswitch Rd
Slidell, LA 70458-1234
Phone
(985) 643-2828
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Authorized official

Name
Dr. Julio Cesar Marin Jr., DDSNPI 1508244039
Title
Dentist
Phone
(985) 643-2828

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

640 Brownswitch Rd
Slidell, LA 70458-1234

Mailing address

640 Brownswitch Rd
Slidell, LA 70458-1234
Phone (985) 643-2828

National Provider Directory

National Provider Directory

Locations

640 Brownswitch Rd
Slidell, LA 70458
Phone (985) 605-7632

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1538804331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BROWNSWITCH RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581234",
            "telephone_number": "985-643-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROWNSWITCH RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581234",
            "telephone_number": "985-643-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO C MARIN JR DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "985-643-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.