Individual provider Active NPI

Jamie L Marvel, DDS

  • Dentist
  • Winnemucca, NV
National Provider Identifier
1841497427
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4821 Issued in NV
Practice address
465 W Haskell St
Winnemucca, NV 89445-6700
Phone
(776) 623-2364
NPI assigned
Jun 28, 2007
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4821 NV Primary

Addresses

Primary practice location

465 W Haskell St
Winnemucca, NV 89445-6700

Mailing address

465 W Haskell St
Winnemucca, NV 89445-6700
Phone (775) 623-2364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160225002037 NV Order and Referring Only - DentistPractitioner - Dentist 7315242591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4821NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1841497427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456700",
            "telephone_number": "775-623-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456700",
            "telephone_number": "776-623-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

Verify at the official NPI Registry.