S. Patrick Maraka, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6244-15 Issued in WI

Practice address

2830 Curry CT Ste 1
Green Bay, WI 54311-4877

Phone

(920) 432-7230

NPI assigned

Jun 17, 2008

Sex

Male

Sole proprietor

Yes

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

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

Previously, effective Aug 27, 2012 through Aug 27, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Arts Associates of Green Bay LTD

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1326173006
  NPD (past)
• Robert H Wagner Family Dentist S.C.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1124670898
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1972764553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-432-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-432-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAKA",
        "first_name": "S. PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6244-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manor Care of Green Bay Wi (West) LLC
• Mitchell W Manthey, MD
• Derek Manz, OT
• Ahmad A Maqboul, MD
• Ramana R Marada, MD
• Anthony Joseph Marchlewski, MD
• Amber Marciniak
• Timothy Joseph Marciniak, H.I.S.
• Chester Marcol
• Christina Anne Marien

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.