Timothy Dean Marshall, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412220 Issued in VA

Practice address

420 E 3Rd St
Farmville, VA 23901-1512

Phone

(434) 395-1228

Fax

(434) 395-1232

NPI assigned

Oct 5, 2008

Last updated

Aug 1, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1942451240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011512",
            "telephone_number": "434-395-1228",
            "fax_number": "434-395-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011512",
            "telephone_number": "434-395-1228",
            "fax_number": "434-395-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TIMOTHY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-05",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Malcolm
• Robert Jonathon Maloney Jr., P.T.
• Holly Lanea Mann, CSAC-S
• Supriya Mannepalli, M.D.
• Cynthia Anne Marsh
• Jonathan Eric Marston, MD
• Dawn Phelps Martin, NP
• Samuel A. Martin Jr., O.D.
• Mary's Rest Home for Adults Inc.
• Eileen May, LPC

• General Practice Dentistry in Farmville, VA
• Providers in Farmville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.