Mark Ward Bain, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

029474 Issued in NY

Practice address

26 Columbia Ave
Depew, NY 14043-2309

Phone

(716) 685-4020

Fax

(716) 685-4021

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104921485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COLUMBIA AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432309",
            "telephone_number": "716-685-4020",
            "fax_number": "716-685-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COLUMBIA AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432309",
            "telephone_number": "716-685-4020",
            "fax_number": "716-685-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "MARK",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "029474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Angrisano-Gall, MA
• Robert C Anna, R.N.
• Joseph Anthony Aquino, PT
• Anne-Marie Asci, RPH
• Bac Women French
• Leah Baldinger, DDS
• Frank Baliko, STUDENT
• Chelsea Ball, MS OTR/L
• Courtney Barker, PA
• Meaghan Barone Toft, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Depew, NY
• Providers in Depew, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.