NPIMap

Organization Active NPI

Dr. Mark D. Anderson

Doing business as Mid City Smiles Family Dentsitry

  • Dental Clinic/Center
  • New Orleans, LA
National Provider Identifier
1083843197
Registry record updated Aug 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5228 Issued in LA
Legal business name
DR. MARK D. ANDERSON
Doing business as
Mid City Smiles Family Dentsitry
Practice address
3625 Canal St
New Orleans, LA 70119-6110
Phone
(504) 485-6575
NPI assigned
Jul 9, 2009
Last updated
Aug 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2009

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

Authorized official

Name
Dr. Mark David Anderson, D.D.S.
Title
Owner
Phone
(504) 485-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5228 LA Primary

Addresses

Primary practice location

3625 Canal St
New Orleans, LA 70119-6110

Mailing address

3625 Canal St
New Orleans, LA 70119-6110
Phone (504) 485-6575

Other names 1

  • Mid City Smiles Family Dentsitry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Mark D Anderson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250985600000",
    "number": "1083843197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196110",
            "telephone_number": "504-485-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196110",
            "telephone_number": "504-485-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK D. ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-08-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-485-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid City Smiles Family Dentsitry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; 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.