Mark R Pasternak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6182 Issued in CO

Practice address

125 Inverness Dr E
#230
Englewood, CO 80112-5138

Phone

(303) 792-9904

Fax

(303) 792-9907

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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.

• Crystal Umphlett DDS PLLC

  • General Practice Dentistry
  • Englewood, CO
  • NPI 1134085103
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164563516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "address_2": "#230",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125138",
            "telephone_number": "303-792-9904",
            "fax_number": "303-792-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "address_2": "#230",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125138",
            "telephone_number": "303-792-9904",
            "fax_number": "303-792-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Y Parsons, P.A.
• Partners in Pediatrics, P.C.
• Allison Marie Pascale, DNP, FNP-C
• Maria Zennifer Pascual Schwab, MS, OTR
• Janet Pasterkamp
• Anish Patel
• Kevin Patel, M.D.
• Nishant Anilkumar Patel, M.D., M.B.A.
• Pratik Patel
• Sajan Patel, DO

• Dentist in Englewood, CO
• Providers in Englewood, CO by specialty
• Dentist in Colorado

• 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.