Individual provider Active NPI

Warren S. Marshall, DDS

  • Dentist
  • Toledo, OH
National Provider Identifier
1811087679
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16346 Issued in OH
Practice address
3425 Executive Parkway
Suite 214
Toledo, OH 43606-1134
Phone
(419) 537-6726
Fax
(419) 537-6746
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16346 OH Primary

Addresses

Primary practice location

3425 Executive Parkway
Suite 214
Toledo, OH 43606-1134

Mailing address

3425 Executive Parkway
Suite 214
Toledo, OH 43606-1134
Phone (419) 537-6726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160107001404 OH Order and Referring Only - DentistPractitioner - Dentist 8224330287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16346OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren S Marshall DDS Dentist Past Accepting new patients
Warren S Marshall DDS 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1811087679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PARKWAY",
            "address_2": "SUITE 214",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061134",
            "telephone_number": "419-537-6726",
            "fax_number": "419-537-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PARKWAY",
            "address_2": "SUITE 214",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061134",
            "telephone_number": "419-537-6726",
            "fax_number": "419-537-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "WARREN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "16346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.