NPIMap

Organization Active NPI

Mark C Santamaria DDS PC

  • Dentist
  • Plymouth, MI
National Provider Identifier
1073658266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901012880 Issued in MI
Legal business name
MARK C SANTAMARIA DDS PC
Practice address
838 South Main St
Plymouth, MI 48170-2047
Phone
(734) 459-2400
Fax
(734) 459-9463
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Christopher Santamaria, DDS
Title
Owner
Phone
(734) 459-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901012880 MI Primary

Addresses

Primary practice location

838 South Main St
Plymouth, MI 48170-2047

Mailing address

838 South Main St
Plymouth, MI 48170-2047
Phone (734) 459-2400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073658266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 SOUTH MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702047",
            "telephone_number": "734-459-2400",
            "fax_number": "734-459-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 SOUTH MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702047",
            "telephone_number": "734-459-2400",
            "fax_number": "734-459-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C SANTAMARIA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-459-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.