Active NPI
Marcus L Vogel, DDS
- General Practice Dentistry
- Bismarck, ND
National Provider Identifier
1336279256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1642
- Practice address
- 3000 North 14TH Street
Suite 2D
Bismarck, ND 58503-0698 - Phone
- (701) 255-0469
- Fax
- (701) 223-3677
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1642 | ND | Primary |
Addresses
Primary practice location
3000 North 14TH Street
Suite 2D
Bismarck, ND 58503-0698
Mailing address
3000 North 14TH Street
Suite 2D
Bismarck, ND 58503-0698
Phone (701) 255-0469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40861 | Medicaid | ND | |
| 901642 | Other | ND | DENTAL SOURCE CORP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336279256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NORTH 14TH STREET",
"address_2": "SUITE 2D",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030698",
"telephone_number": "701-255-0469",
"fax_number": "701-223-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NORTH 14TH STREET",
"address_2": "SUITE 2D",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030698",
"telephone_number": "701-255-0469",
"fax_number": "701-223-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "MARCUS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "1642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40861",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL SOURCE CORP",
"identifier": "901642",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- 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.