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DR. DEJERNERIA MARSHALL DDS
NPI 1639276306
Dentist - General Practice in Irvine, CA

Active since September 17, 2006PECOS Enrolled
PO BOX 52372, IRVINE, CA 92619(949) 891-1250 Get Directions Write a Review

NPPES record last updated: December 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2025, Apr 30, 2021, Apr 19, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Dejerneria Marshall Dds NPPES

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

DR. DEJERNERIA MARSHALL DDS (NPI 1639276306) is an individual general practice provider in Irvine, California, licensed in California (47523) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639276306
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEJERNERIA MARSHALLCredential: DDS
Location AddressPO BOX 52372Irvine, CA 92619-2372
Mailing AddressPo Box 52372Irvine, CA 92619-2372 · (949) 891-1250
Phone(949) 891-1250
Sole ProprietorYes
Enumeration DateSeptember 17, 2006
Last NPPES UpdateDecember 21, 20254 updates tracked since enumeration
NPPES CertifiedDecember 21, 2025
✔ NPI 1639276306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47523
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.
PO BOX 52372, Irvine, CA 92619
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dejerneria Marshall 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dejerneria Marshall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Riverside
12 mi
Community/Behavioral Health
2813 S MAIN ST FL 2
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1205090453 (951) 738-2400
St. Johns Community Health
27 mi
Community Health
15301 S SAN JOSE AVE
Compton, CA 90221
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1801028303 (562) 630-6825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92619 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Dejerneria Marshall's NPI number?

The NPI number for Dejerneria Marshall is 1639276306. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Dejerneria Marshall located?

Dejerneria Marshall practices at PO Box 52372, Irvine, CA 92619. The listed phone number is (949) 891-1250.

What is Dejerneria Marshall's specialty?

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

Is Dejerneria Marshall enrolled in Medicare?

Yes. Dejerneria Marshall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dejerneria Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dejerneria Marshall reassigns Medicare benefits to 2 organizations: County Of Riverside (Corona, CA) and St. Johns Community Health (Compton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dejerneria Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dejerneria Marshall was last updated on December 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.