Active NPI
Mark Mamari DDS. PSC. Inc.
Doing business as Ft. Mitchell Dental Care
- Dental Clinic/Center
- Ft Mitchell, KY
National Provider Identifier
1306917406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 7221
- Legal business name
- MARK MAMARI DDS. PSC. INC.
- Doing business as
- Ft. Mitchell Dental Care
- Practice address
- 2503 Chelsea Dr
Ft Mitchell, KY 41017-1701 - Phone
- (859) 426-9666
- NPI assigned
- Nov 11, 2006
- Last updated
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Mamari, DDS
- Title
- Dr.
- Phone
- (859) 426-9666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 7221 | KY | Primary |
Addresses
Primary practice location
2503 Chelsea Dr
Ft Mitchell, KY 41017-1701
Mailing address
2503 Chelsea Dr
Ft Mitchell, KY 41017-1701
Phone (859) 426-9666
Other names 1
- Ft. Mitchell Dental Care
National Provider Directory
National Provider DirectoryLocations
2503 Chelsea Dr
Ft Mitchell, KY 41017
Phone (859) 426-9666
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Ft Mitchell, KY
- NPI 1336309632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1306917406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 CHELSEA DR",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410171701",
"telephone_number": "859-426-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 CHELSEA DR",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410171701",
"telephone_number": "859-426-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK MAMARI DDS. PSC. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-11",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "MAMARI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "859-426-9666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "KY",
"license": "7221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ft. Mitchell Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ft Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.