Mark E. Pickett, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2558 Issued in AR

Practice address

135 Cash Rd NW
Camden, AR 71701-3833

Phone

(870) 836-5003

Fax

(870) 836-3163

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timbland Dental

  • Dental Clinic/Center
  • Camden, AR
  • NPI 1720573421
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275622755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CASH RD NW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013833",
            "telephone_number": "870-836-5003",
            "fax_number": "870-836-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CASH RD NW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013833",
            "telephone_number": "870-836-5003",
            "fax_number": "870-836-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AR",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "884614",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ouachita Physician Services, LLC
• Ouachita Physician Services, LLC (Family Clinic of Ouachita County)
• Abigail Grace Parker, PHARM D
• Perkins & Arnold, PLLC
• Joannie Phelps, LAC
• Jeana Pierce
• Pine Hills Health and Rehabilitation, LLC
• Pine Hills Healthcare LLC
• Pinnacle Hearing LLC
• Charles G Pope, OD

• Public Health Dentistry in Camden, AR
• Providers in Camden, AR by specialty
• Public Health Dentistry in Arkansas

• 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.