Organization Active NPI

Mark Mamari DDS. PSC. Inc.

Doing business as Ft. Mitchell Dental Care

  • Dental Clinic/Center
  • Ft Mitchell, KY
National Provider Identifier
1306917406
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7221 Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.