Individual provider Active NPI

Maryanne Marschik, DDS

  • Dentist
  • Monterey, CA
National Provider Identifier
1790146876
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36175 Issued in CA
Practice address
880 Cass St Ste 207
Monterey, CA 93940-2909
Phone
(831) 372-4411
Fax
(831) 372-3954
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36175 CA Primary

Addresses

Primary practice location

880 Cass St Ste 207
Monterey, CA 93940-2909

Mailing address

880 Cass St Ste 207
Monterey, CA 93940-2909
Phone (831) 372-4411

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
36175CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kwiatkowski and Marschik Prof Dental Corp Past Accepting new patients
Edward W Kwiatkowski DDS Mary Anne Marschik Nawae Osman DDS Profession Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1790146876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CASS ST STE 207",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402909",
            "telephone_number": "831-372-4411",
            "fax_number": "831-372-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CASS ST STE 207",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402909",
            "telephone_number": "831-372-4411",
            "fax_number": "831-372-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSCHIK",
        "first_name": "MARYANNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.