Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN CLYDE MARIETTA DDS
NPI 1104869775
Dentist - General Practice in Salina, KS

Active since June 13, 2006PECOS Enrolled
208 W CLOUD ST, SALINA, KS 67401(785) 825-7557(785) 825-7666 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Clyde Marietta Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN CLYDE MARIETTA DDS (NPI 1104869775) is an individual general practice provider in Salina, Kansas, licensed in Kansas (5766) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104869775
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN CLYDE MARIETTACredential: DDS
Location Address208 W CLOUD STSalina, KS 67401-6448
Mailing Address208 W Cloud StSalina, KS 67401-6448 · (785) 825-7557 · Fax (785) 825-7666
Fax(785) 825-7666
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1104869775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KS · 5766
Definition

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.

208 W CLOUD ST, Salina, KS 67401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Clyde Marietta Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Marietta's NPI number?

The NPI number for John Marietta is 1104869775. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is John Marietta located?

John Marietta practices at 208 W Cloud St, Salina, KS 67401. The listed phone number is (785) 825-7557.

What is John Marietta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Marietta enrolled in Medicare?

Yes. John Marietta is registered in the Medicare PECOS enrollment system.

What insurance does John Marietta accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list John Marietta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Marietta was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.