Mark David Edington, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4362 Issued in NV

Practice address

9895 S Maryland Pkwy Ste a
Las Vegas, NV 89183-7165

Phone

(702) 372-4039

Fax

(702) 270-0598

NPI assigned

Dec 5, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mark D Edington DDS LTD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1245944461
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1124186515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 S MARYLAND PKWY STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837165",
            "telephone_number": "702-372-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 S MARYLAND PKWY STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837165",
            "telephone_number": "702-372-4039",
            "fax_number": "702-270-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Edgeworth, MD
• Shariquitka Edgleston
• Edicine Im PLLC
• Julie Edington Bagley, RN
• Jennifer Edington
• Harresha Laquisha Edison
• Maurice Edison
• Vicki Edison
• Edith Feld LLC
• Kelvin Edlem

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.