Organization Active NPI

Michael D Marshall DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1578936571
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
045880 Issued in NY
Legal business name
MICHAEL D MARSHALL DDS PC
Practice address
261 5TH Ave
Suite 1709
New York, NY 10016-7701
Phone
(212) 488-7777
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Michael Marshall, DDS PCNPI 1275594186
Title
President
Phone
(212) 488-7777

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 045880 NY Primary

Addresses

Primary practice location

261 5TH Ave
Suite 1709
New York, NY 10016-7701

Mailing address

261 5TH Ave
Suite 1709
New York, NY 10016-7701
Phone (212) 488-7777

National Provider Directory

National Provider Directory

Locations

261 5th Ave
Ste 1709
New York, NY 10016
Phone (212) 488-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1578936571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 5TH AVE",
            "address_2": "SUITE 1709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167701",
            "telephone_number": "212-488-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 5TH AVE",
            "address_2": "SUITE 1709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167701",
            "telephone_number": "212-488-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D MARSHALL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-488-7777",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.