Active NPI
Mark D Hurd, D.D.S.
- Dentist
- Pueblo, CO
National Provider Identifier
1265632871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6486
- Practice address
- 3901 Outlook Blvd Ste C
Pueblo, CO 81008-1696 - Phone
- (719) 544-7020
- NPI assigned
- Jul 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6486 | CO | Primary |
Addresses
Primary practice location
3901 Outlook Blvd Ste C
Pueblo, CO 81008-1696
Mailing address
3901 Outlook Blvd Ste C
Pueblo, CO 81008-1696
Phone (719) 544-7020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6486 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D. Hurd, D.D.S. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Pueblo, CO
- NPI 1679949853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184976000000",
"number": "1265632871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 OUTLOOK BLVD STE C",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081696",
"telephone_number": "719-544-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 OUTLOOK BLVD STE C",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081696",
"telephone_number": "719-544-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-21",
"last_updated": "2007-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.