Individual provider Active NPI

Mark Lynn McCarthy, D.D.S.

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1114050077
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014302 Issued in MI
Practice address
2900 Central Ave BLDG 1
Billings, MT 59102-8626
Phone
(406) 656-6100
Fax
(406) 656-8726
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014302 MI Primary
General Practice Dentistry 1223G0001X DEN-DEN-LIC 11574 MT

Addresses

Primary practice location

2900 Central Ave BLDG 1
Billings, MT 59102-8626

Mailing address

2900 Central Ave BLDG 1
Billings, MT 59102-8626
Phone (406) 656-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20200310000922 MT Order and Referring Only - DentistPractitioner - Dentist 3678901402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014302MIMDGeneral Practice Dentistry
DEN-DEN-LIC 11574MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer Dental Center PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1114050077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CENTRAL AVE BLDG 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028626",
            "telephone_number": "406-656-6100",
            "fax_number": "406-656-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CENTRAL AVE BLDG 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028626",
            "telephone_number": "406-656-6100",
            "fax_number": "406-656-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MARK",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014302",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC 11574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.