Mark R Mazurkiewicz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3407-07 Issued in MS

Practice address

1025 Foote St
Corinth, MS 38834-4911

Phone

(662) 287-3156

Fax

(662) 287-3157

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Arts of Corinth

  • General Practice Dentistry
  • Corinth, MS
  • NPI 1508029448
  NPD (past)
• Iuka Family Dental, PLLC

  • Dental Clinic/Center
  • Iuka, MS
  • NPI 1851979868
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073733606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FOOTE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344911",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FOOTE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344911",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURKIEWICZ",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3407-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mason, MS
• Raymond Lafayette Mathis, PHARM.D.
• Stephanie Mathis, PHARM.D.
• Shametra Lashelle Matthews
• Maximum Mobility Rehabilitation & Fitness Inc
• Brodie Wayne McAlpin Jr., M.D.
• Samantha Ann McBryde, PHARMD
• Wynn Gober McCandless
• Kayla Lillian McCrory, PA-C
• Debora Fields McFalls, CFNP

• General Practice Dentistry in Corinth, MS
• Providers in Corinth, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.