Paul K Marshall II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13579 Issued in MA

Practice address

306 Winter St
Hyannis, MA 02601-2960

Phone

(507) 775-0933

Fax

(508) 775-0817

NPI assigned

Jan 31, 2007

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 MA

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

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1578600144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026010934",
            "telephone_number": "507-775-0933",
            "fax_number": "508-775-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WINTER ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012960",
            "telephone_number": "507-775-0933",
            "fax_number": "508-775-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "PAUL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Markowski, D.O.
• Lura Wendy Marks, ANP-BC
• Jennifer D Marlin, DNP, APRN, PMHNP-BC
• Damaris Marques, DPT
• Manny Marrero, MOT, OTR/L, FCE
• Sara Marshall, MS
• Marlene Virginia Marte Furment, MD
• Amy Martin
• Claire Jeanette Martin
• Jeffrey Michael Martin, M.D.

• General Practice Dentistry in Hyannis, MA
• Providers in Hyannis, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.