Active NPI
Mark Kekoa Valdez
- Dental Assistant
- Fort Hood, TX
National Provider Identifier
1144671652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- US Army Dental Activity 4431 68TH Street
Fort Hood, TX 76544 - Phone
- (254) 287-2705
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
US Army Dental Activity 4431 68TH Street
Fort Hood, TX 76544
Mailing address
BLDG 39033 Support Ave Ft, Hood TX
Apo, AA 76544
Phone (808) 430-1508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H01098950 | Other | HI | DENTAL HYGIENIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1144671652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "BLDG 39033 SUPPORT AVE FT, HOOD TX",
"city": "APO",
"state": "AA",
"postal_code": "76544",
"telephone_number": "808-430-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US ARMY DENTAL ACTIVITY 4431 68TH STREET",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "MARK",
"middle_name": "KEKOA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENIST",
"identifier": "H01098950",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.