Organization Active NPI

Marcelino J Marenco DDS PA

  • Dentist
  • Miami, FL
National Provider Identifier
1669033635
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARCELINO J MARENCO DDS PA
Practice address
13155 SW 42ND St Ste 105
Miami, FL 33175-3428
Phone
(305) 208-0800
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Dr. Marcelino J Marenco, DDSNPI 1083772198
Title
President
Phone
(305) 228-0800

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13155 SW 42ND St Ste 105
Miami, FL 33175-3428

Mailing address

13155 SW 42ND St Ste 105
Miami, FL 33175-3428
Phone (305) 208-0800

Other practice location 1

13155 SW 42nd St Ste 104
Miami, FL 33175-3428
Phone (305) 600-3708

Other identifiers 1

IdentifierTypeStateIssuer
1083772198OtherFLSINGLE NPI

Other names 1

  • Dental City Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mmarencodds@gmail.com

National Provider Directory

National Provider Directory

Locations

13155 SW 42nd St
Ste 105
Miami, FL 33175
Phone (305) 208-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1669033635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 SW 42ND ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753428",
            "telephone_number": "305-208-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 42ND ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753428",
            "telephone_number": "305-208-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13155 SW 42nd St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753428",
            "country_code": "US",
            "telephone_number": "305-600-3708",
            "fax_number": "305-280-8528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCELINO J MARENCO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "MARENCO",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE NPI",
            "identifier": "1083772198",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mmarencodds@gmail.com",
            "affiliation": "N",
            "address_1": "13155 SW 42nd St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331753428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.