NPIMap

Organization Active NPI

Mark E. Hardwick

  • Exclusive Provider Organization
  • Romeo, MI
National Provider Identifier
1295898906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
11564 Issued in MI
Legal business name
MARK E. HARDWICK
Practice address
218 S Main St
Romeo, MI 48065-5129
Phone
(586) 725-6586
Fax
(586) 752-6221
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Edgar Hardwick, D.D.S.NPI 1881710259
Title
General Dentist
Phone
(586) 752-6586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 11564 MI Primary

Addresses

Primary practice location

218 S Main St
Romeo, MI 48065-5129

Mailing address

218 S Main St
Romeo, MI 48065-5129
Phone (586) 725-6586

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295898906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655129",
            "telephone_number": "586-725-6586",
            "fax_number": "586-752-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655129",
            "telephone_number": "586-725-6586",
            "fax_number": "586-752-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. HARDWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "586-752-6586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "11564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • 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.