Richard Marshall Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1914 Issued in WV

Practice address

120 Maplewood Ave
Ronceverte, WV 24970-9736

Phone

(304) 645-3110

Fax

(304) 645-3209

NPI assigned

Feb 6, 2013

Last updated

Feb 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Christopher J Rodebaugh, DDS Inc

  • General Practice Dentistry
  • Ronceverte, WV
  • NPI 1043658503
  NPD (past)
• H Richard Marshall Jr DDS Inc

  • Dentist
  • Ronceverte, WV
  • NPI 1588753859
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1891034138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249709736",
            "telephone_number": "304-645-3110",
            "fax_number": "304-645-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249709736",
            "telephone_number": "304-645-3110",
            "fax_number": "304-645-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135577000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa D Lockhart
• Joseph Lutz, PA-C
• David C Maki, D.O.
• Talia M. Mamone, MSPT
• Judith Mann
• Angela C Martin
• Amanda Martinez, RN,BSN
• Valerie G Massie
• Deb Matheny
• Mary Elise McClintic, DPT

• Dentist in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.