AMANDA KRISTEN MARSHALL DMD
NPI 1861380511
Dentist - General Practice in Flagstaff, AZ

Active since June 24, 2025PECOS Enrolled
2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2026, Nov 6, 2025, Jun 24, 2025 (3 updates tracked since 2025).

About Amanda Kristen Marshall Dmd NPPES

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

AMANDA KRISTEN MARSHALL DMD (NPI 1861380511) is an individual general practice provider in Flagstaff, Arizona, licensed in Tennessee (12985) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2025).

NPPES Registry Identity

NPI1861380511
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMANDA KRISTEN MARSHALLCredential: DMD
Location Address2920 N 4TH STFlagstaff, AZ 86004-1816
Mailing Address2920 N 4th StFlagstaff, AZ 86004-1816
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2025
Enumeration DateJune 24, 2025
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1861380511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 12985
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.

Also ListedDentistTaxonomy 122300000X · License D012536 (AZ)
2920 N 4TH ST, Flagstaff, AZ 86004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Kristen Marshall Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567953615
PECOS Enrollment IDI20251117001763
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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 86004 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Dentist (General Practice)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pediatrics
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Internal Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Women's Health)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
2920 N 4TH ST, SUITE 2
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Advanced Practice Midwife
2920 N 4TH ST, NORTH COUNTRY HEALTHCARE INC.
FLAGSTAFF, AZ 86004
Family Medicine
2920 N 4TH ST
FLAGSTAFF, AZ 86004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861380511, enumerated as an "individual" on June 24, 2025.

The provider is located at 2920 N 4TH ST FLAGSTAFF, AZ 86004 and the phone number is (928) 522-9400.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.