Mark R Cowan DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

NC2544 Issued in NC

Legal business name

MARK R COWAN DMD PA

Practice address

227 N Talbert Blvd
Lexington, NC 27292

Phone

(336) 249-2906

Fax

(336) 249-7988

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark R Cowan, DMDNPI 1104045905

Title

Dentist

Phone

(336) 249-2906

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark R Cowan, DMD

  • Dentist
  • Lexington, NC
  • NPI 1104045905
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144395468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N TALBERT BLVD PO BOX 1107",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-249-2906",
            "fax_number": "336-249-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N TALBERT BLVD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-249-2906",
            "fax_number": "336-249-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R COWAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-249-2906",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC6426",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC2544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900 2V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016G9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shombai L Malone, OTR
• Aaron Mandzak
• Mansi Shah DMD PC (My Dentaville)
• Marc F. Fedder, MD, PA
• Marigold Behavioral Health, PLLC.
• Michelle Tara Marrs
• Cheryl Martin-Williams
• Meredith Martin, LCSWA
• Kristi M Mauldin, D.C.
• Joshua Reed May, LCSWA

• Dentist in Lexington, NC
• Providers in Lexington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.