Marc F Lipkin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS021793L Issued in PA

Practice address

601 East Broad St
Suite #200
Souderton, PA 18964

Phone

(215) 723-5531

Fax

(215) 721-9119

NPI assigned

May 23, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 17, 2015 through Sep 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Indian Valley Dental Associates

  • Dentist
  • Souderton, PA
  • NPI 1760558894
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1104036839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST BROAD ST",
            "address_2": "SUITE #200",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-5531",
            "fax_number": "215-721-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST BROAD ST",
            "address_2": "SUITE #200",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-5531",
            "fax_number": "215-721-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "MARC",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021793L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebeckah Jo Leatherman
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• Jessica M Lomonaco, M.ED.
• Mark Daniel Lukens, OTR/L
• Lisa Wood Martino Schmittinger, MSW LSW
• Cara McCausland

• Dentist in Souderton, PA
• Providers in Souderton, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.