Marlene Cosette Talley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40315 Issued in CA

Practice address

2119 Louella Ave
Venice, CA 90291-4016

Phone

(310) 391-4953

NPI assigned

Mar 11, 2010

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1770806267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 LOUELLA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914016",
            "telephone_number": "310-391-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 LOUELLA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914016",
            "telephone_number": "310-391-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MARLENE",
        "middle_name": "COSETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charley Leigh Swan, M.A.
• Brendan Douglas Swart, AMFT
• Meghan Lilyan Swidler, INHC, CIHC
• Devaunshi Dev Tailor, LAC
• Ginny Tal, LCSW
• Andrew Tantisukarom
• Casey Tarpey, DPT
• Tamar Tashdjian
• Wade Taylor, CADC-CAS
• Maureen J Teefy, AMFT, APCC

• Dentist in Venice, CA
• Providers in Venice, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.