Michael Arthur Marshall, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857258 Issued in MA

Practice address

1028 Edgewater Corporate Pkwy Ste 101
Indian Land, SC 29707

Phone

(803) 835-2500

NPI assigned

Jul 13, 2016

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 NC

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.

• Diba Dastajerdi DMD PC

  dba Carr & Associates

  • Dentist
  • Boston, MA
  • NPI 1952703480
  NPD (past)
• Richard D Carr DDS

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1124173612
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1568814697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 EDGEWATER CORPORATE PKWY STE 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 EDGEWATER CORPORATE PKWY STE 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "803-835-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 New Edgerly Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021153503",
            "country_code": "US",
            "telephone_number": "617-262-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128766",
            "country_code": "US",
            "telephone_number": "336-766-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Mackey
• Brandi Alexandria Magana, DMD
• Matthew Earl Malus, MD
• Charles Manning, RPH
• Erin Burfield Marcotsis, MD
• Masifitnessllc
• Mastectomy Shoppe, LLC (Pink Ribbon Gals)
• Malcolm Matheson, PHARMD
• Teresa Matthews
• Ashleigh McAteer

• General Practice Dentistry in Indian Land, SC
• Providers in Indian Land, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.