Individual provider Active NPI

Mark Winslow Icard, D.D.S.

  • General Practice Dentistry
  • Harrisburg, NC
National Provider Identifier
1043256985
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5668 Issued in NC
Practice address
5500 Highway 49 S
Suite 500
Harrisburg, NC 28075-8414
Phone
(704) 455-5003
Fax
(704) 455-3587
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5668 NC Primary

Addresses

Primary practice location

5500 Highway 49 S
Suite 500
Harrisburg, NC 28075-8414

Mailing address

5500 Highway 49 S
Suite 500
Harrisburg, NC 28075-8414
Phone (704) 455-5003

Other identifiers 2

IdentifierTypeStateIssuer
94419OtherNCBCBS PROVIDER ID
8994419MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150415002451 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688992019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Icard, D.D.S. General Practice Past Accepting new patients
Icard and Strein PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043256985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HIGHWAY 49 S",
            "address_2": "SUITE 500",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758414",
            "telephone_number": "704-455-5003",
            "fax_number": "704-455-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HIGHWAY 49 S",
            "address_2": "SUITE 500",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758414",
            "telephone_number": "704-455-5003",
            "fax_number": "704-455-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICARD",
        "first_name": "MARK",
        "middle_name": "WINSLOW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "94419",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.