Mark V Dimartino DDS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARK V DIMARTINO DDS

Practice address

1375 Hathaway Dr
Farmington, NY 14425-8804

Phone

(585) 924-2160

Fax

(585) 924-1875

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Mark Dimartino, DDSNPI 1134138159

Title

Owner

Phone

(585) 924-2160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Vincent Dimartino, DDS

  • General Practice Dentistry
  • Farmington, NY
  • NPI 1134138159

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1033723564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 HATHAWAY DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258804",
            "telephone_number": "585-924-2160",
            "fax_number": "585-924-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 HATHAWAY DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258804",
            "telephone_number": "585-924-2160",
            "fax_number": "585-924-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V DIMARTINO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-924-2160",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kovac-Tantalo, NURSE PRACTITIONER
• Aneesah Lattimore, RN
• Michelle L Lyons, LPN
• Joseph Macomber, RN
• John Michael Manfred, MD
• Kara Martin, PA-C
• Kenneth E Mathis, P.A.
• Brian L Mattiacio, D.D.S., M.S.
• Katie A. Schaeffer McCool, FNP-C
• Ralph McGarrity, RPH

• Durable Medical Equipment & Medical Supplies in Farmington, NY
• Providers in Farmington, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.