Individual provider Active NPI

William Marchi, DDS, MSD

  • Periodontics
  • Pensacola, FL
National Provider Identifier
1760557771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN0012173 Issued in FL
Practice address
6107 Tippin Ave
Pensacola, FL 32504-8219
Phone
(850) 477-1814
Fax
(850) 969-0600
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X DN0012173 FL Primary

Addresses

Primary practice location

6107 Tippin Ave
Pensacola, FL 32504-8219

Mailing address

6107 Tippin Ave
Pensacola, FL 32504-8219
Phone (850) 477-1814

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20161003002041 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1557547593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0012173FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760557771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048219",
            "telephone_number": "850-477-1814",
            "fax_number": "850-969-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048219",
            "telephone_number": "850-477-1814",
            "fax_number": "850-969-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHI",
        "first_name": "WILLIAM",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0012173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.