Richard A Marshall Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011833 Issued in AZ

Practice address

18301 N 79TH Ave Ste G186
Glendale, AZ 85308-6093

Phone

(480) 208-3079

NPI assigned

Jun 16, 2023

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Richard Marshall, DMD, PLLC

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1598440596
  NPD Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1962187963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8957 W RANCHO DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052021",
            "telephone_number": "480-208-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G186",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "480-208-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011833",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Marolda
• Scott Marquard, D.O.
• Alexandra Marquez, LDO
• Joshua B Marquez, PT, DPT
• Jill Marie Marshall, FNP-C
• Andrea M Martell, MPT
• Joanne Marie Martelli, PMHNP
• Erin June Martens, MD
• Martin C Gage PC (Gage Chiropractic Health Center)
• Kerry Jean Martin-Doehring, MA, LMFT, IMH-E

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.