Mark Pefley

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK PEFLEY

Doing business as

familydentalcare

Practice address

1736 Broadway St
Anderson, IN 46012-2447

Phone

(765) 642-3588

Fax

(765) 649-1226

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth A Parker

Title

Office Manager

Phone

(765) 642-3588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• familydentalcare Doing business as

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.

• Mark Randall Pefley, DDS

  • Dentist
  • Anderson, IN
  • NPI 1194804773
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1326500323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 BROADWAY ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122447",
            "telephone_number": "765-642-3588",
            "fax_number": "765-649-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 BROADWAY ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122447",
            "telephone_number": "765-642-3588",
            "fax_number": "765-649-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PEFLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-642-3588"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10017297OA",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "familydentalcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manor Care of Anderson in LLC (ManorCare Health Services)
• Jason Shang Mar, DMD
• David C Mares, MD
• Meghan E Mares, M.A., BCBA, LBA
• Margaux M. Fraundorfer, DDS (Fraundorfer Family Dentistry, LLC)
• David Aaron Martin, PTA
• David L Martin, MD
• Jennifer Lynn Martin, RD, CD
• Nathan Martin, D.D.S.
• William Martin, RPH

• Dental Clinic/Center in Anderson, IN
• Providers in Anderson, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.