Active NPI
Lawrence Harold Marks, D.M.D.
- Prosthodontics
- Fort Lauderdale, FL
National Provider Identifier
1316956469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN0011837
- Practice address
- 1825 NE 45TH St
Suite C
Fort Lauderdale, FL 33308-5117 - Phone
- (954) 776-9025
- Fax
- (954) 772-4980
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN0011837 | FL | Primary |
Addresses
Primary practice location
1825 NE 45TH St
Suite C
Fort Lauderdale, FL 33308-5117
Mailing address
3340 N 37TH St
Hollywood, FL 33021-2518
Phone (954) 981-9271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323000690 | FL | Order and Referring Only - Other (Physician) | 4284931049 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0011837 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1316956469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 N 37TH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212518",
"telephone_number": "954-981-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 NE 45TH ST",
"address_2": "SUITE C",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085117",
"telephone_number": "954-776-9025",
"fax_number": "954-772-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "LAWRENCE",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN0011837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.