Mark Thomas Lavin, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

M981 Issued in SD

Practice address

6104 S Lyncrest Ave
Sioux Falls, SD 57108-2560

Phone

(605) 332-6300

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark T Lavin DDS PC

  dba Mark T Lavin DDS Periodontics & Dental Implants

  • Periodontics
  • Sioux Falls, SD
  • NPI 1396342846
  NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336266436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 W COTTAGE TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062185",
            "telephone_number": "605-521-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 S LYNCREST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082560",
            "telephone_number": "605-332-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SD",
            "license": "M981",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "6427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Lauseng, RN
• Kristi Michelle Lauseng, MPT
• Dylan Lautt, DC
• Marcia Ann Lavelle
• Patricia Cranny Lavelle
• Marshall Thomas Lavin, DDS
• Melanie Lavoie, DO
• Laura Marie Lavoy
• Patrick J Lawler, MD
• Shannen Cathleen Lawrence Scheafer, PT

• Periodontics in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Periodontics in South Dakota

• 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.
• 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.