Individual provider Active NPI

David O Marks, DDS, INC.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1013079425
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3087 Issued in OK
Practice address
6565 S. Yale Ave
#1101
Tulsa, OK 74136-8346
Phone
(918) 481-4900
Fax
(918) 481-4906
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3087 OK Primary

Addresses

Primary practice location

6565 S. Yale Ave
#1101
Tulsa, OK 74136-8346

Mailing address

6565 S. Yale Ave
#1101
Tulsa, OK 74136-8346
Phone (918) 481-4900

Other names 1

  • David O Marks Professional name

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

LicenseStateTypeSpecialty
3087OKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1013079425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S. YALE AVE",
            "address_2": "#1101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368346",
            "telephone_number": "918-481-4900",
            "fax_number": "918-481-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S. YALE AVE",
            "address_2": "#1101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368346",
            "telephone_number": "918-481-4900",
            "fax_number": "918-481-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DAVID",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS, INC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "MARKS",
            "middle_name": "O",
            "credential": "DDS INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.