Justin Kenneth Marriott, (DDS)

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7439272-9921 Issued in UT

Practice address

309 SW 59TH St
#105
Oklahoma City, OK 73109-8321

Phone

(405) 631-2700

NPI assigned

Sep 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Justin Marriott Other name

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1902130404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SW 59TH ST",
            "address_2": "#105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098321",
            "telephone_number": "405-631-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "JUSTIN",
        "middle_name": "KENNETH",
        "credential": "(DDS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7439272-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "MARRIOTT",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marquis Labs, LLC
• Lillian Marquis
• Meleah Brooke Marquis
• Andrew Joseph Marra, M.S., LPC
• Jaron Marriott, DO
• Benjamin S Marrone, DO
• Stephanie Marrs, APRN
• Diana Marrufo
• Robert D Mars, DDS
• Amy Michelle Marsh, MS

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.