Mark F Porter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19.015695 Issued in IL

Practice address

212 E Market St
Troy, IL 62294-1512

Phone

(618) 667-6101

Fax

(618) 667-8099

NPI assigned

Feb 26, 2007

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)

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.

• Market Street Family Dentist, PC

  • Dental Clinic/Center
  • Troy, IL
  • NPI 1750127601
  NPD (past)
• Market Street Family Dentist, PC

  • Dental Clinic/Center
  • Troy, IL
  • NPI 1770122194
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275669798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RACHAEL CT",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622944010",
            "telephone_number": "618-667-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MARKET ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941512",
            "telephone_number": "618-667-6101",
            "fax_number": "618-667-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19.015695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavesh Patel, M.D.
• Amber Pendegraft, FNP-C
• Taylor R Petrich, DMD
• Ashlynn Kaye Pinney, LCPC
• Abigail Marie Podshadley
• Prescriptions Plus Pharmacy of Troy Inc
• Amy Louise Prosser
• Brittany Redden, DPT
• Morgann Reeser, BCBA
• Lauren M Richter, LCPC

• General Practice Dentistry in Troy, IL
• Providers in Troy, IL by specialty
• General Practice Dentistry in Illinois

• 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.