Mark a Henke DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK A HENKE DMD PC

Practice address

2605 NW Rolling Green Drive
Corvallis, OR 97330

Phone

(541) 757-0082

Fax

(541) 757-7325

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Adam Henke, DMDNPI 1104076033

Title

Doctor Owner

Phone

(541) 757-0082

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark A Henke, DMD

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1104076033
  NPD (past) Authorized official
• Holly Ann Okerstrom, DMD

  • Dentist
  • Corvallis, OR
  • NPI 1689007494
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285717900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NW ROLLING GREEN DRIVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-757-0082",
            "fax_number": "541-757-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NW ROLLING GREEN DRIVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-757-0082",
            "fax_number": "541-757-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A HENKE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "541-757-0082",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia a. Liberatore, MD PC (Corvallis Integral Medicine)
• Dawn Nichole Marcus, CRM
• Margaret Yamasaki LCSW LLC
• Stacy Marinelli
• Luiza Gabriela Marinescu, DNP
• Mark Aron, PSYD, MSW, PC
• Thomas L. Marker, M.D.
• Miranda Lee Markesteyn, PA
• Eileen R Marma, RN
• Christina Marquardt, QMHA

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.