Mark Eliott Gleixner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008388 Issued in IN

Practice address

1678 Fry Rd
Suite B
Greenwood, IN 46142-1146

Phone

(317) 885-7760

Fax

(317) 885-7813

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mark E Gleixner, DDS, PC

  • Dental Clinic/Center
  • Greenwood, IN
  • NPI 1205497880
  NPD Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1316919145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 FRY RD",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421146",
            "telephone_number": "317-885-7760",
            "fax_number": "317-885-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 FRY RD",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421146",
            "telephone_number": "317-885-7760",
            "fax_number": "317-885-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIXNER",
        "first_name": "MARK",
        "middle_name": "ELIOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Ginn
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• Glasshouse Optical, Inc
• Jamie Marie Gleason, FNP-BC
• Madison Glenn
• Larhonda Cherise Gober, MBA, BCBA
• Sarah Lucille Godsave, NP
• Jenny Lee Goedl, COTA
• Kierstin Goforth

• General Practice Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.