Individual provider Active NPI

Mark F Adams, DMD

  • Dentist
  • Arnold, MO
National Provider Identifier
1003086737
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008003837 Issued in MO
Practice address
1708 Missouri State Rd
Arnold, MO 63010-2006
Phone
(636) 287-9331
NPI assigned
Mar 10, 2008
Last updated
May 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2008003837 MO Primary

Addresses

Primary practice location

1708 Missouri State Rd
Arnold, MO 63010-2006

Mailing address

1708 Missouri State Rd
Arnold, MO 63010-2006
Phone (636) 287-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406002288 MO Order and Referring Only - DentistPractitioner - Dentist 4284953415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terry L. Brown, DMD, P.C. Dentist Past Accepting new patients
Thomas John Kennedy of Missouri, DDS, P.C. Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1003086737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MISSOURI STATE RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102006",
            "telephone_number": "636-287-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 MISSOURI STATE RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102006",
            "telephone_number": "636-287-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008003837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.