Individual provider Active NPI

Ronald Curtis Markarian, D.M.D., M.S., P.C.

  • Endodontics
  • Swansea, IL
National Provider Identifier
1013920289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Practice address
16 Park Place Professional Centre
Swansea, IL 62226-2969
Phone
(618) 234-5533
Fax
(618) 234-8248
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X IL Primary

Addresses

Primary practice location

16 Park Place Professional Centre
Swansea, IL 62226-2969

Mailing address

16 Park Place Professional Centre
Swansea, IL 62226-2969
Phone (618) 234-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150303002361 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981920253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019-021415ILMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013920289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK PLACE PROFESSIONAL CENTRE",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262969",
            "telephone_number": "618-234-5533",
            "fax_number": "618-234-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK PLACE PROFESSIONAL CENTRE",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262969",
            "telephone_number": "618-234-5533",
            "fax_number": "618-234-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKARIAN",
        "first_name": "RONALD",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.