Ellen Mark, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57132 Issued in CA

Practice address

6399 Garfield Ave
Suite 150
Sacramento, CA 95841

Phone

(916) 344-1000

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

No

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 TX

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

Locations

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.

• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384

  TX

  Medicare reassignment NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1750031548
  NPD
• Northern Valley Indian Health, Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1740634286
  NPD

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1104073121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72866",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956172866",
            "telephone_number": "530-756-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 GARFIELD AVE",
            "address_2": "SUITE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95841",
            "telephone_number": "916-344-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "ELLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Levine, M.D. Professional Corporation
• Mark David Levine, MBR
• Mark David Levine, MD Psychiatry Associates PC
• Mark David Levine, MD Sacramento Professional Corporation
• Mark David Levine, MD, Psychiatry Associates, P.C.
• John Robert Mark, MD
• Karen Elizabeth Mark, M.D. MPH
• Kelvin C Mark, DO
• Kira Mark, RBT
• Alex Katherine Markan

• Pediatric Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.