Active NPI
Mark A Whitford, DDS
- Dentist
- Binghamton, NY
National Provider Identifier
1013063387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 040044
- Practice address
- 1003 Upper Front St
Binghamton, NY 13905-1314 - Phone
- (607) 771-6054
- Fax
- (607) 771-9337
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 040044 | NY | Primary |
Addresses
Primary practice location
1003 Upper Front St
Binghamton, NY 13905-1314
Mailing address
919 Upper Front St
Binghamton, NY 13905-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040044 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013063387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 UPPER FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 UPPER FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051314",
"telephone_number": "607-771-6054",
"fax_number": "607-771-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFORD",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "040044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.