Mark Charles Marcus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29745 Issued in CA

Practice address

13320 Riverside Dr
Suite 204
Sherman Oaks, CA 91423-2502

Phone

(818) 789-8892

Fax

(818) 789-2916

NPI assigned

Jun 11, 2007

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

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.

• Leora H Sheily DDS PC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1669096160
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144423666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR",
            "address_2": "SUITE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232502",
            "telephone_number": "818-789-8892",
            "fax_number": "818-789-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR",
            "address_2": "SUITE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232502",
            "telephone_number": "818-789-8892",
            "fax_number": "818-789-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalpana Maniktala, M.D.
• Victoria M Mannah
• Tigran Manukyan
• Amy Beth Mao, BCBA
• Ashley Maravilla
• Jacklynne Marder
• Ani Mardirossian, NP
• Talar Mardirossian
• Brandon Maret
• Margaret N. Zepfel, DC

• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Dentistry in California

• 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.