Individual provider Active NPI

Katharine Luskin Marcks, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Natick, MA
National Provider Identifier
1902219090
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN1857881 Issued in MA
Practice address
230 Pond St
Natick, MA 01760-4323
Phone
(508) 653-2417
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040345 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN1857881 MA Primary

Addresses

Primary practice location

230 Pond St
Natick, MA 01760-4323

Mailing address

230 Pond St
Natick, MA 01760-4323
Phone (508) 653-2417

Other practice location 1

4760 Liberty Ave
Pittsburgh, PA 15224-2040
Phone (412) 687-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS040345PAMDGeneral Practice Dentistry
DN1857881MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Natick Dental Partners LLP Orthodontics and Dentofacial Orthopedics PastSince Jan 5, 2020 Accepting new patients
Dana M. Monahan, DDS, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1902219090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 POND ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604323",
            "telephone_number": "508-653-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 POND ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604323",
            "telephone_number": "508-653-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242040",
            "country_code": "US",
            "telephone_number": "412-687-2005",
            "fax_number": "412-687-1809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCKS",
        "first_name": "KATHARINE",
        "middle_name": "LUSKIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040345",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1857881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.