James B Marshall, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07617 Issued in CT

Practice address

357 Main Street South
Woodbury, CT 06798

Phone

(203) 263-2681

NPI assigned

Jul 11, 2006

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 CT

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

Interoperability endpoints

• Direct secure messaging: jmarshall100630@direct.ynhh.org

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609801497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MAIN STREET SOUTH",
            "address_2": "PO BOX 593",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MAIN STREET SOUTH",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-263-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "07617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynam, PSY.D.
• Saloua Mabkhouti, APRN
• Christina D Macinnis, MS, LADC, NCC
• Courtney Malcolm, MSW, LCSW
• Maria Guglielmino, Psy.D., LLC
• Kerry Martin, RN
• Mary E Tyrrell (Canfield Corner Pharmacy)
• Simone Matusevice, PTA
• Becky Mayer, LCSW
• Ruth Cantor Mayer, PH.D.

• General Practice Dentistry in Woodbury, CT
• Providers in Woodbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.