Marcus A Dibble II

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3094 S Sheridan Rd
Sheridan, MI 48884-9345

Phone

(231) 942-9112

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1548957327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488380021",
            "telephone_number": "231-942-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 S SHERIDAN RD",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488849345",
            "telephone_number": "231-942-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "MARCUS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Leigh Bartlett, MD
• Michael Brad Cearlock, M.D.
• Connor McCane DMD PLLC
• Nicole P Falatic, DNP, FNP-C
• Stephen Frey, MD
• John P. Marshall DDS,PC
• Yilin Li, MD
• Joe-Seth Maharry

• Home Health Aide in Sheridan, MI
• Providers in Sheridan, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.