NPIMap

Organization Active NPI

Nelson J. Mar DDS PC

  • Dentist
  • Litchfield Park, AZ
National Provider Identifier
1104393826
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NELSON J. MAR DDS PC
Practice address
5220 N. Dysart Rd #144
Litchfield Park, AZ 85340
Phone
(623) 536-6845
Fax
(623) 536-7989
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Mr. Nelson J. Mar, D.D.S., P.C.NPI 1851447601
Title
Doctor
Phone
(623) 536-6845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5220 N. Dysart Rd #144
Litchfield Park, AZ 85340

Mailing address

5220 N. Dysart Rd. #144
Litchfield Park, AZ 85340
Phone (623) 536-6845

National Provider Directory

National Provider Directory

Locations

5220 N Dysart Rd
Ste 144
Litchfield Park, AZ 85340
Phone (623) 536-6845

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": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1104393826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 N. DYSART RD. #144",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-536-6845",
            "fax_number": "623-536-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 N. DYSART RD #144",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-536-6845",
            "fax_number": "623-536-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON J. MAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "MAR",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-536-6845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S., P.C."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.