Individual provider Active NPI

Marjorie Elaine McGinnis, COTA

  • Specialist
  • Tucson, AZ
National Provider Identifier
1730551482
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4816 Issued in AZ
Practice address
1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404
Phone
(520) 829-9635
Fax
(520) 829-9636
NPI assigned
Oct 21, 2015
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4816 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404

Mailing address

1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404
Phone (520) 829-9635

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
4816AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mealtime Connections, LLC Specialist PastSince Oct 30, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1730551482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163404",
            "telephone_number": "520-829-9635",
            "fax_number": "520-829-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163404",
            "telephone_number": "520-829-9635",
            "fax_number": "520-829-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MARJORIE",
        "middle_name": "ELAINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.