NPIMap

Organization Active NPI

Donald M Marks

  • Dentist
  • State College, PA
National Provider Identifier
1225437890
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS018302 Issued in PA
Legal business name
DONALD M MARKS
Practice address
611 University Dr
State College, PA 16801-6552
Phone
(814) 234-0329
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Donald M Marks, DMDNPI 1629092663
Title
Dentist
Phone
(814) 234-0329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS018302 PA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

611 University Dr
State College, PA 16801-6552

Mailing address

611 University Dr
Suite 112
State College, PA 16801-6552

National Provider Directory

National Provider Directory

Locations

611 University Dr
Ste 112
State College, PA 16801
Phone (814) 234-0329

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1225437890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "address_2": "SUITE 112",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-234-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M MARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "814-234-0329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS018302",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.