DR. JOHN CLYDE MARIETTA (NPI# 1104869775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869775 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLYDE MARIETTA |
| Credential | DDS |
| Practice Address |
208 W Cloud St Salina KS 67401-6448 |
| Practice Telephone | 7858257557 |
| Practice Fax Number | 7858257666 |
| Mailing Telephone | 7858257557 |
| Mailing Fax Number | 7858257666 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5766 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114033693 | John Robert Marietta | Specialist | 6101 Balcones Dr Ste 300, Austin, TX 78731-4277 | 2006-08-21 |
| Street Address |
208 W CLOUD ST |
| City | SALINA |
| State | KS |
| Zip Code | 67401-6448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
| Find all providers in zip 67401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1497201149 | Mcanally Family Dental | Dentist | 1941 S Ohio Street, Salina, KS 67401 | 2016-08-31 |
| 1073738076 | Scott K Wilkins | Dentist | 145 N State St, Salina, UT 84654-1257 | 2007-04-16 |
| 1679675185 | Mark Archer Mitchell | Dentist | 1941 S Ohio St, Salina, KS 67401-6602 | 2006-09-04 |
| 1619083201 | Mark W Asper | Dentist | 3 East Main Street, Salina, UT 84654-1358 | 2006-08-23 |
| 1427069707 | Ken Guest | Dentist | 1920 S Ohio St, Salina, KS 67401-6643 | 2006-08-11 |
| 1669482857 | Bruce L Johnson | Dentist | 1041 S Ohio St, Salina, KS 67401-5364 | 2006-08-09 |
| 1437112075 | Discover Dental Center P.a. | Dentist | 807 Prescott Rd, Salina, KS 67401-7412 | 2006-04-06 |
| 1255392445 | Vermelle L Brown-ghoston | Dentist | 611 E Iron Ave, Salina, KS 67401-3035 | 2006-03-29 |
| 1801863832 | Frank D Ferson | Dentist | 723 S Ohio St, Salina, KS 67401-5241 | 2006-03-08 |
| Find all providers in SALINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.