Laura Cristen Marszalek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12010564 Issued in IN

Practice address

2628 Western Ave
Connersville, IN 47331-1803

Phone

(765) 825-2941

Fax

(765) 827-5796

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 1, 2015 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christie Family Dentistry

  • General Practice Dentistry
  • Connersville, IN
  • NPI 1477794352
  NPD (past) Authorized official
• Dr. Tom Christie Family Dentistry PC

  • Dentist
  • Connersville, IN
  • NPI 1962848473
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851513311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 W 200 N",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461737543",
            "telephone_number": "765-938-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311803",
            "telephone_number": "765-825-2941",
            "fax_number": "765-827-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSZALEK",
        "first_name": "LAURA",
        "middle_name": "CRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Lewis, PHARMD
• Joanna K Lizak
• Leslie Maddock, RPH
• Roger Mapes, RPH
• Rebekkah L. Marschand
• Kristi Noelle Martin, RPH
• Shelia Marie Martin
• Candice L McCann, MSW
• Andrea McClellan, PMHNP-BC
• Clifford McDaniel, LMHC

• Dentist in Connersville, IN
• Providers in Connersville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.