Mark E Stotz DDS a Professional LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M672 Issued in SD

Legal business name

MARK E STOTZ DDS A PROFESSIONAL LLC

Practice address

2525 W Main St Ste 304
Rapid City, SD 57702-2487

Phone

(605) 342-1432

Fax

(605) 342-8131

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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

Dr. Mark E Stotz, DDSNPI 1679625784

Title

Owner

Phone

(605) 342-1432

Specialties & licenses 1

Addresses

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 E Stotz, DDS

  • Dentist
  • Rapid City, SD
  • NPI 1679625784
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346392453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 304",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022487",
            "telephone_number": "605-342-1432",
            "fax_number": "605-342-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 304",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022487",
            "telephone_number": "605-342-1432",
            "fax_number": "605-342-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E STOTZ DDS A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-342-1432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Mantei, PA-C
• Amy Mantie, PT
• Tristan Rae Marchant, LCSW
• Ilya Marchenko, DMD
• Dean R Marietta, M.D.
• Mark Urban Counseling
• Mark W. Perrenoud PH.D. Inc.
• Amy Lynn Marker, CSW, QMHP
• Kelly Marker, LMHC
• Nebojsa Markovic, MD

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.