Dr. Mark a. Spiker, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2413 Issued in WV

Legal business name

DR. MARK A. SPIKER, DDS, PLLC

Practice address

304 Masonic Ave
Pennsboro, WV 26415-1324

Phone

(304) 659-2585

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Spiker, D.D.S., PLLC

Title

Dentist

Phone

(304) 659-2585

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1326253154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 41",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264159413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MASONIC AVE",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264151324",
            "telephone_number": "304-659-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK A. SPIKER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SPIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-659-2585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PLLC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136425000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pennsboro, WV
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.