Robert T Marks, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D19647 Issued in CA

Practice address

1844 San Miguel Dr Ste 209
Walnut Creek, CA 94596-4913

Phone

(925) 937-6350

Fax

(925) 937-6352

NPI assigned

Jul 12, 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

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265467518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964913",
            "telephone_number": "925-937-6350",
            "fax_number": "925-937-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964913",
            "telephone_number": "925-937-6350",
            "fax_number": "925-937-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "D19647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R. Maher DDS, Inc.
• Sara D. Mark, MD
• Siobhan Mark, MS CCC-SLP
• Thomas Markiewith, P.A.
• Sara Marks Brown, MA
• Elizabeth Delores Marlow Lehrburger, M.D.
• Estelita Marquez Floyd, MD
• Adam Charles Marre, MD, DDS
• Andrew D Marshall, DDS
• Gregory A. Marshall, MD

• Periodontics in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Periodontics 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.