Roderick Scott Mar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006056 Issued in WA

Practice address

3049 Beacon Ave South
Seattle, WA 98144

Phone

(206) 328-3100

Fax

(206) 860-4265

NPI assigned

Dec 11, 2006

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

• Roderick S Mar Professional 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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952461808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 BEACON AVE SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-328-3100",
            "fax_number": "206-860-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 BEACON AVE SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-328-3100",
            "fax_number": "206-860-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "RODERICK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODERICK",
            "last_name": "MAR",
            "middle_name": "S",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eric Yang Mar, MD
• Haydon J. Mar, DDS
• Joyce A Mar, RPH
• Leighton Weldon Mar
• Norman James Mar, PH.D.
• Sara Mar
• Sheri K Mar, C.N.
• Tomson P Mar, D.D.S.
• Heba Fathy Mohammed Ismai Maraei, MBCHB
• Anna Catherine Maraia, PA-C

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.