Individual provider Active NPI

Torin Marracino, D.D.S.

  • General Practice Dentistry
  • Texarkana, AR
National Provider Identifier
1720113202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3524 Issued in AR
Practice address
1600 Arkansas Blvd Ste 200
Texarkana, AR 71854-1664
Phone
(870) 773-3109
Fax
(870) 774-0451
NPI assigned
Feb 23, 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
General Practice Dentistry 1223G0001X 3524 AR Primary

Addresses

Primary practice location

1600 Arkansas Blvd Ste 200
Texarkana, AR 71854-1664

Mailing address

1600 Arkansas Blvd Ste 200
Texarkana, AR 71854-1664
Phone (870) 773-3109

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3524ARMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720113202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ARKANSAS BLVD STE 200",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541664",
            "telephone_number": "870-773-3109",
            "fax_number": "870-774-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ARKANSAS BLVD STE 200",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541664",
            "telephone_number": "870-773-3109",
            "fax_number": "870-774-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACINO",
        "first_name": "TORIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.