Individual provider Active NPI

Marc J Toso, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Everett, WA
National Provider Identifier
1932496809
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60983033 Issued in WA
Practice address
5929 Evergreen Way Ste 300
Everett, WA 98203
Phone
(425) 365-3000
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE60983033 WA Primary

Addresses

Primary practice location

5929 Evergreen Way Ste 300
Everett, WA 98203

Mailing address

2023 155TH PL NE Apt 526
Bellevue, WA 98007-5081

Other practice location 1

555 S Sunrise Way
Palm Springs, CA 92264
Phone (760) 904-5486

Other practice location 2

555 S Sunrise Way
Palm Springs, CA 92264
Phone (760) 904-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 12, 2021 through Jan 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DE60983033WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Washingtonoralmaxillofacialsurgery Oral and Maxillofacial Surgery PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1932496809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 155TH PL NE APT 526",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 EVERGREEN WAY STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-365-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92264",
            "country_code": "US",
            "telephone_number": "760-904-5486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92264",
            "country_code": "US",
            "telephone_number": "760-904-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOSO",
        "first_name": "MARC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60983033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.