Paul Ernest Marcuz, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015934 Issued in MI

Practice address

18223 E 10 Mile Rd Ste 300
Roseville, MI 48066-5821

Phone

(586) 775-0520

Fax

(586) 775-2670

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

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.

• Paul E Marcuz D.D.S.,P.C.

  • General Practice Dentistry
  • Eastpointe, MI
  • NPI 1073790200
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1831280908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-775-0520",
            "fax_number": "586-775-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-775-0520",
            "fax_number": "586-775-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22770 Kelly Rd",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480212009",
            "country_code": "US",
            "telephone_number": "586-775-0520",
            "fax_number": "586-775-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUZ",
        "first_name": "PAUL",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTIS ID NUMBER",
            "identifier": "0002091",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3375692",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "001371874",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COMMONWEATH ID #",
            "identifier": "053109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerianne Lynn Malik, PAC
• Maloy Homes, Inc.
• Linda Ann Mannino, APRN BC MSN CNP
• Vera Maranci, M.D.
• Robert Lewis Marchese, MD
• Angela Renee Maritim-Brooks, LMSW
• Martin E. Guyer D.D.S. Professional Corporation
• Jasmaine Trecia Martin-Morris
• Morgan Martin, LLMSW
• Quinterria Martin

• General Practice Dentistry in Roseville, MI
• Providers in Roseville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.