Mark a. Kahn, DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12009076 Issued in IN

Legal business name

MARK A. KAHN, DDS, PC

Practice address

6211 W 30TH St
Indianapolis, IN 46224-3048

Phone

(317) 299-0353

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Mark A Kahn, DDS

Title

President

Phone

(317) 299-0353

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1063885820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 W 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243048",
            "telephone_number": "317-299-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 W 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243048",
            "telephone_number": "317-299-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. KAHN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-299-0353",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "162916151",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer E. Mariner, PSY. D.
• Brayan Marino Capristan, MS
• Marjan Medical PC
• Marjorie J. Knotts, O.D., Inc
• Mark a Snyder OD LLC
• Mark E Sherer DDS, PC
• Mark Edward Lemmons MD PC
• Mark H Schlichter DPM PC
• Mark Kesler, D.D.S., P.C.
• Mark Kesler, D.D.S., P.C.

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.