Mark R Scilley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6464 Issued in AZ

Practice address

855 E Brown Rd
Suite 7
Mesa, AZ 85203-4958

Phone

(480) 834-0890

Fax

(480) 964-3175

NPI assigned

Jul 26, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 R. Scilley, DDS, PC

  • Dentist
  • Mesa, AZ
  • NPI 1598982589
  NPD (past) Authorized official
• Cooper Dentistry LLC

  dba Cooper Family Dentistry

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1215159645
  NPD (past)
• Cooper Family Dentistry

  • Dentist
  • Gilbert, AZ
  • NPI 1407279003
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336162684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-834-0890",
            "fax_number": "480-964-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-834-0890",
            "fax_number": "480-964-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCILLEY",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Schwary
• John Raymond Schwary, CADAC
• Schweichler Adult Care Homes, LLC (Desert Wells Behavioral Health Home)
• Suzanne Schwetz
• Michael T Schwimmer, M.D.
• Joseph M Scoggin, MD
• Jason E Scoglio, LCSW
• Rosa-Elise Scooler, ND
• Scope Enterprises LLC (Step By Step Recovery & Health Center)
• Scott Dentistry

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.