Mara Lynn Mariani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050510 Issued in NY

Practice address

55 Barn Rd
Lake Placid, NY 12946-1050

Phone

(518) 523-1122

Fax

(518) 523-8535

NPI assigned

Apr 11, 2007

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1669695110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BARN RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461050",
            "telephone_number": "185-231-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BARN RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461050",
            "telephone_number": "518-523-1122",
            "fax_number": "518-523-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "MARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Lawrence, OPTICIAN
• Krista M Leblanc, LMHC, LPCC, LCMHC
• Colette Lettero
• Donald Peter Light, RPH
• Holli P Lynch, SPEECH AND HEARING
• Jeremy Marra, ATC,CSCS
• Brandon Matthews
• Woods McCahill, M.D.
• Katie McDowell, CF-SLP
• Crystal L McHugh, PT

• General Practice Dentistry in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.