Individual provider Active NPI

Mark Andrew Figura, DDS

  • General Practice Dentistry
  • Palm Bay, FL
National Provider Identifier
1124188420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10280 Issued in FL
Practice address
2105 Palm Bay Rd NE
Suite #4-5W
Palm Bay, FL 32905-2937
Phone
(321) 725-7644
Fax
(321) 725-5305
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10280 FL Primary

Addresses

Primary practice location

2105 Palm Bay Rd NE
Suite #4-5W
Palm Bay, FL 32905-2937

Mailing address

2105 Palm Bay Rd NE
Suite #4-5W
Palm Bay, FL 32905-2937
Phone (321) 725-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161201002150 FL Order and Referring Only - DentistPractitioner - Dentist 1153601430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10280FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124188420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "SUITE #4-5W",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-725-7644",
            "fax_number": "321-725-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "SUITE #4-5W",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-725-7644",
            "fax_number": "321-725-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGURA",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.