Active NPI
Marcus Stephen Tappan
- Dentist
- Silver Spring, MD
National Provider Identifier
1982879219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10168
- Practice address
- 8611 2ND Ave
Suite #101
Silver Spring, MD 20910-3372 - Phone
- (301) 565-8212
- Fax
- (301) 565-9458
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10168 | MD | Primary |
Addresses
Primary practice location
8611 2ND Ave
Suite #101
Silver Spring, MD 20910-3372
Mailing address
8611 2ND Ave
Suite #101
Silver Spring, MD 20910-3372
Phone (301) 565-8212
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
- Opted out of Medicare
- Yes, effective Jul 11, 2016 through Jul 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10168 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Offices of Dr Marcus S Tappan & Associates PC | Dentist | Past | 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.
-
- Dentist
- Silver Spring, MD
- NPI 1043313364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1982879219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 2ND AVE",
"address_2": "SUITE #101",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103372",
"telephone_number": "301-565-8212",
"fax_number": "301-565-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8611 2ND AVE",
"address_2": "SUITE #101",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103372",
"telephone_number": "301-565-8212",
"fax_number": "301-565-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPPAN",
"first_name": "MARCUS",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "10168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.