Active NPI
Lloyd H Marcum, D.D.S.
- Endodontics
- San Luis Obispo, CA
National Provider Identifier
1700127073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 32357
- Practice address
- 1129 Pacific St
San Luis Obispo, CA 93401-3301 - Phone
- (805) 541-8731
- Fax
- (805) 541-8047
- NPI assigned
- Mar 11, 2013
- Last updated
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 32357 | CA | Primary |
Addresses
Primary practice location
1129 Pacific St
San Luis Obispo, CA 93401-3301
Mailing address
1129 Pacific St
San Luis Obispo, CA 93401-3301
Phone (805) 541-8731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32357 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lloyd Marcum DDS Inc | Past | Accepting new patients | |
| Raymond Pandez DDS MSD Inc | Endodontics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- San Luis Obispo, CA
- NPI 1477542140
-
- Endodontics
- San Luis Obispo, CA
- NPI 1902526866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1700127073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 PACIFIC ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013301",
"telephone_number": "805-541-8731",
"fax_number": "805-541-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 PACIFIC ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013301",
"telephone_number": "805-541-8731",
"fax_number": "805-541-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUM",
"first_name": "LLOYD",
"middle_name": "H",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "32357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.