Individual provider Active NPI

Garret Jordan Marchant, DDS

  • Dentist
  • Marquette, MI
National Provider Identifier
1790301802
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600619 Issued in MI
Practice address
989 W Washington St
Marquette, MI 49855-4064
Phone
(906) 226-9992
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600619 MI Primary

Addresses

Primary practice location

989 W Washington St
Marquette, MI 49855-4064

Mailing address

1302 Pioneer Rd
Marquette, MI 49855-9108
Phone (906) 250-4621

Other practice location 1

16088 Balsam Lane I-5
Spalding, MI 49886
Phone (906) 497-4220

Other practice location 2

W14034 Melville St
Engadine, MI 49827-9582
Phone (906) 477-6596

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
2901600619MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1790301802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 PIONEER RD",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559108",
            "telephone_number": "906-250-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554064",
            "telephone_number": "906-226-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16088 Balsam Lane I-5",
            "address_purpose": "LOCATION",
            "city": "Spalding",
            "state": "MI",
            "postal_code": "49886",
            "country_code": "US",
            "telephone_number": "906-497-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W14034 Melville St",
            "address_purpose": "LOCATION",
            "city": "Engadine",
            "state": "MI",
            "postal_code": "498279582",
            "country_code": "US",
            "telephone_number": "906-477-6596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHANT",
        "first_name": "GARRET",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.