Tiffany Marin

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

33FKQT9RG7 Issued in TX

Practice address

10601 Clarence Dr
Frisco, TX 75033-3864

Phone

(210) 296-1455

NPI assigned

Feb 8, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1891559902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CLARENCE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333864",
            "telephone_number": "210-296-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CLARENCE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333864",
            "telephone_number": "210-296-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "33FKQT9RG7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana Rachel Marcus, M.S., CCC-SLP
• Bernard Kofi Marfo, PMHNP
• Marian R. Zimmerman PH.D., PA
• Marie Dibra MD PLLC
• Richard Marin, PH.D.
• Carol Marino, LPC
• Mark Allen Wallman, Sr.
• Mark C. Littlejohn, MD PLLC
• Mark David Levine, MD Psychiatrists Professional Corporation
• Mark E. Davis,D.D.S.,P.a.

• Prosthetic/Orthotic Supplier in Frisco, TX
• Providers in Frisco, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.