Individual provider Active NPI

Daniel E. Marsh, D.D.

  • Chiropractor
  • Petaluma, CA
National Provider Identifier
1669698809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC016718 Issued in CA
Practice address
231 N McDowell Blvd Ste B
Petaluma, CA 94954-8300
Phone
(707) 775-4000
Fax
(707) 775-4044
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC016718 CA Primary

Addresses

Primary practice location

231 N McDowell Blvd Ste B
Petaluma, CA 94954-8300

Mailing address

231 N McDowell Blvd Ste B
Petaluma, CA 94954-8300
Phone (707) 775-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006000760 AZ Practitioner - Chiropractic 4789772732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11115 N la Canada Dr
Suite 155
Oro Valley, AZ 85737-9457
Phone (520) 505-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC016718CAMDChiropractor
8633AZMDPharmacist
16718CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oro Valley Health and Wellness Chiropractic, PC Chiropractor CurrentSince Sep 18, 2017 Accepting new patients
Lewis Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

11115 N La Canada Dr
Ste 155
Tucson, AZ 85737
Phone (520) 505-0550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669698809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N MCDOWELL BLVD STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548300",
            "telephone_number": "707-775-4000",
            "fax_number": "707-775-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N MCDOWELL BLVD STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548300",
            "telephone_number": "707-775-4000",
            "fax_number": "707-775-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "DANIEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC016718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.