W G Marinaccio DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5000669 Issued in WI

Legal business name

W G MARINACCIO DDS LTD

Practice address

201 East Waldo Blvd
Suite 102
Manitowoc, WI 54220-2908

Phone

(920) 682-2273

Fax

(920) 682-0117

NPI assigned

Aug 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren G Marinaccio, DDSNPI 1700882552

Title

President

Phone

(920) 682-2273

Specialties & licenses 1

Addresses

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.

• Warren G. Marinaccio, DDS

  • Dentist
  • Manitowoc, WI
  • NPI 1700882552
  Authorized official Same address or phone

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629186986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST WALDO BLVD",
            "address_2": "SUITE 102",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202908",
            "telephone_number": "920-682-2273",
            "fax_number": "920-682-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST WALDO BLVD",
            "address_2": "SUITE 102",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202908",
            "telephone_number": "920-682-2273",
            "fax_number": "920-682-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W G MARINACCIO DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINACCIO",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-682-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony L Vogel, OTR
• Hannah Louise Vogel, PTA
• Saithong Vongpanya, LPN
• Vop Manitowoc LLC (Dimensions Living Manitowoc)
• Corrinne C Voss, P.T.
• Cherie L Wadle, M.S. CCC-SLP
• Tait David Waege, R.PH.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1449)
• Wal-Mart Stores East, LP (Vision Center 30-1449)
• Walgreen Co (Walgreens #03104)

• General Practice Dentistry in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.