Mark Waldman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08700 Issued in CT

Practice address

110 Post Rd
Darien, CT 06820-2931

Phone

(203) 655-2453

Fax

(203) 656-0353

NPI assigned

Jul 27, 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

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.

Opted out of Medicare

Yes, effective Dec 30, 2015 through Dec 30, 2027

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.

• Alan B Rosenthal,DMD,PC

  dba Darien Dental Associates

  • Dentist
  • Darien, CT
  • NPI 1306860937
  NPD (past)
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC

  • Dentist
  • Brooklyn, NY
  • NPI 1922542372
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346254422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068202931",
            "telephone_number": "203-655-2453",
            "fax_number": "203-656-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068202931",
            "telephone_number": "203-655-2453",
            "fax_number": "203-656-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "08700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular CT, PLLC
• Josephine Velazquez, D.P.M.
• Victoria Shumard
• Amanda Marie Villalba, LCSW
• Christen Rose Vogel, M.D.
• Walgreen Co (Walgreens #21268)
• Warby Parker Inc.
• Phyllis Weihs, LPC
• Robert F Weiss, DPM
• Scott H Weiss, DPM

• General Practice Dentistry in Darien, CT
• Providers in Darien, CT by specialty
• General Practice Dentistry in Connecticut

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.