Robert Neil Marley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.015221 Issued in IL

Practice address

121 W 2ND St
Flora, IL 62839-1606

Phone

(618) 662-4151

NPI assigned

Jun 19, 2012

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

Enrolled in IL

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.

• Robert Neil Marley D.D.S., LTD

  • Dental Clinic/Center
  • Flora, IL
  • NPI 1417023276
  NPD (past) Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1568725091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 2ND ST",
            "address_2": "P O BOX 130",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391606",
            "telephone_number": "618-662-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 2ND ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391606",
            "telephone_number": "618-662-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLEY",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.015221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Lynch, BS
• Susan J Mack, RN, FNP
• Marion County Horizon Center D/B/a Prairie Estates
• Marion Eye Centers LTD.
• Roger Allen Marks
• Martin Dental Associates PC
• Laurel Mae Mason, RN
• Marissa Lynnae Maxham, PTA
• Karen Louise McAllister, APRN
• Tina McGee, BA

• General Practice Dentistry in Flora, IL
• Providers in Flora, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.