Mark J Katz, DDS, MSD, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4915 Issued in NC

Legal business name

MARK J KATZ, DDS, MSD, PA

Practice address

2018 New Garden Rd Ste a
Greensboro, NC 27410-2486

Phone

(336) 286-5800

Fax

(336) 286-5801

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jay Katz, DDS, MSDNPI 1013008218

Title

President/Owner

Phone

(336) 286-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Jay Katz, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greensboro, NC
  • NPI 1013008218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1023109691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 NEW GARDEN RD STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102486",
            "telephone_number": "336-286-5800",
            "fax_number": "336-286-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 NEW GARDEN RD STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102486",
            "telephone_number": "336-286-5800",
            "fax_number": "336-286-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J KATZ, DDS, MSD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-286-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "4915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maries Angels Personal Care Home,LLC
• Marilyns Safe Haven
• Julie Milstead Marine, RN
• Callie Gordon Marino, LPCA, NCC
• Michelle Marinone, M.D.
• Mark W Reynolds DDS Ms and Robert D Stoner DDS Ms PLLC
• Katharine Markey, SLP
• Margaret Ann Markie, FNP
• Dakota Marks
• Dwayne C Marley, CPO

• Orthodontics and Dentofacial Orthopedics Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.