Active NPI
Ian William Marion, D.D.S.
- Pediatric Dentistry
- Sacramento, CA
National Provider Identifier
1811253156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 64448
- Practice address
- 2201 Broadway
Sacramento, CA 95818-2504 - Phone
- (916) 245-0305
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 64448 | CA | Primary |
Addresses
Primary practice location
2201 Broadway
Sacramento, CA 95818-2504
Mailing address
2200 X Street Broadway Alley
College of Dentistry Room 254
Sacramento, CA 95818
Phone (916) 245-0305
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1811253156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 X STREET BROADWAY ALLEY",
"address_2": "COLLEGE OF DENTISTRY ROOM 254",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95818",
"telephone_number": "916-245-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182504",
"telephone_number": "916-245-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARION",
"first_name": "IAN",
"middle_name": "WILLIAM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "64448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.