Corina Marcus, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60768638 Issued in WA

Practice address

175 NE Gilman Blvd Ste 101
Issaquah, WA 98027-2955

Phone

(425) 391-9200

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

No

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.

• Corina Marcus DDS PLLC

  • General Practice Dentistry
  • Mountlake Terrace, WA
  • NPI 1932804259
  NPD Authorized official
• Alexandra Cristescu, D.D.S, P.L.L.C

  • Dentist
  • Issaquah, WA
  • NPI 1649514928
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2017.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1710402003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22809 LAKEVIEW DR APT E304",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NE GILMAN BLVD STE 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272955",
            "telephone_number": "425-391-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "CORINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60768638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Brian Mandell
• Christian Paul Manley, D.D.S., M.S.
• Mannat K.Dhillon,DDS , PLLC
• Samantha Marie Maplethorpe, M.D.
• Brent Marchant, OTD, OTR/L
• Margaret Robertson DC, LLC
• Irina Margulis
• Maria Holmes, MD, PLLC
• Derrrek Marin
• Olivia Marincov, PT

• All providers in Issaquah, WA
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.