Mark C Frill, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6225 Issued in NE

Practice address

10732 Virginia PLZ
La Vista, NE 68128

Phone

(402) 991-7980

Fax

(402) 509-1578

NPI assigned

Mar 23, 2006

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.

• Mark Frill DDS PC

  • General Practice Dentistry
  • Lavista, NE
  • NPI 1144687864
  NPD (past) Authorized official
• Mark Panneton DDS PC

  • Dental Clinic/Center
  • La Vista, NE
  • NPI 1891069043
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1225098536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10732 VIRGINIA PLZ",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "68128",
            "telephone_number": "402-991-7980",
            "fax_number": "402-509-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10732 VIRGINIA PLZ",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "68128",
            "telephone_number": "402-991-7980",
            "fax_number": "402-509-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRILL",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jean Forsythe
• Lizeth Fraire
• Kathleen Renee Franco
• Olga Alicia Frayre
• Kathleen Friedrich
• Madelynn Fry
• Eleauna Fuccio
• Sally Suzanne Fullenkamp, PHARM D.
• Kristen Fulton, M.D.
• Michael Fulton, M.D.

• General Practice Dentistry in La Vista, NE
• Providers in La Vista, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.