Organization Active NPI

Marvalous Smiles

  • Dentist
  • Washington, DC
National Provider Identifier
1851827497
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5001 Issued in DC
Legal business name
MARVALOUS SMILES
Practice address
1818 New York Ave NE
Suite #116
Washington, DC 20002-1848
Phone
(202) 450-2344
Fax
(202) 450-2400
NPI assigned
May 2, 2017
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HERRING HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. Marva Jean Herring, D.D.S.NPI 1568776664
Title
Dentist / Owner
Phone
(240) 838-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5001 DC Primary

Addresses

Primary practice location

1818 New York Ave NE
Suite #116
Washington, DC 20002-1848

Mailing address

1818 New York Ave NE
Suite #116
Washington, DC 20002-1848
Phone (202) 450-2344

Other identifiers 3

IdentifierTypeStateIssuer
122300000XOtherDCTAXONOMY CODE
060363900MedicaidDC
1568776664OtherDCNATIONAL PRACTITIONER IDENTIFIER (NPI)

National Provider Directory

National Provider Directory
Part of
Marvalous Smiles

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1851827497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE",
            "address_2": "SUITE #116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-450-2344",
            "fax_number": "202-450-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE",
            "address_2": "SUITE #116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-450-2344",
            "fax_number": "202-450-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVALOUS SMILES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERRING HOLDINGS",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "MARVA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "240-838-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "122300000X",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060363900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PRACTITIONER IDENTIFIER (NPI)",
            "identifier": "1568776664",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.