DR. WILLIAM S MARIETTA D.D.S.
NPI 1669622155
Dentist in Albuquerque, NM

Active since September 22, 2008Opted out of Medicare · through Aug 16, 2026
717 ENCINO PL NE, SUITE: 6, ALBUQUERQUE, NM 87102(505) 247-8005(505) 843-8589 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William S Marietta D.d.s. NPPES

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

DR. WILLIAM S MARIETTA D.D.S. (NPI 1669622155) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (1415) and active in the NPI registry since September 2008. He has opted out of Medicare through August 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669622155
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. WILLIAM S MARIETTACredential: D.D.S.
Location Address717 ENCINO PL NE, SUITE: 6Albuquerque, NM 87102-2611
Mailing Address717 Encino Pl Ne, Suite: 6Albuquerque, NM 87102-2611 · (505) 247-8005 · Fax (505) 843-8589
Fax(505) 843-8589
Sole ProprietorYes
Enumeration DateSeptember 22, 2008
NPI 1669622155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · 1415
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
717 ENCINO PL NE, Albuquerque, NM 87102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. William S Marietta D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2016 through August 16, 2026.

Opt-Out Effective DateAugust 16, 2016
Opt-Out In Effect ThroughAugust 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
717 ENCINO PL NE, SUITE 17
ALBUQUERQUE, NM 87102
Dietitian, Registered
717 ENCINO PL NE, SUITE 28
ALBUQUERQUE, NM 87102
Registered Nurse (Diabetes Educator)
717 ENCINO PL NE, SUITE 28
ALBUQUERQUE, NM 87102
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
717 ENCINO PL NE
ALBUQUERQUE, NM 87102
Registered Nurse (Diabetes Educator)
717 ENCINO PL NE, 28
ALBUQUERQUE, NM 87102
Clinic/Center (Primary Care)
717 ENCINO PL NE, SUITE 4
ALBUQUERQUE, NM 87102
Internal Medicine (Nephrology)
717 ENCINO PL NE, SUITE 26
ALBUQUERQUE, NM 87102
Pharmacist
717 ENCINO PL NE
ALBUQUERQUE, NM 87102

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 William Marietta's NPI number?

The NPI number for William Marietta is 1669622155. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is William Marietta located?

William Marietta practices at 717 Encino Pl NE Suite: 6, Albuquerque, NM 87102. The listed phone number is (505) 247-8005.

What is William Marietta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is William Marietta enrolled in Medicare?

No. William Marietta has opted out of Medicare through August 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Marietta was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.