NPIMap

Organization Active NPI

Mark S. Lund D.D.S., M.S.D.,PC

  • Prosthodontics
  • Carmel, IN
National Provider Identifier
1356401657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12007557A Issued in IN
Legal business name
MARK S. LUND D.D.S., M.S.D.,PC
Practice address
3985 W 106TH St Ste 150
Carmel, IN 46032-9245
Phone
(317) 872-0173
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Lund, D.D.S., M.S.D.NPI 1336200567
Title
President
Phone
(317) 872-0173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 12007557A IN Primary

Addresses

Primary practice location

3985 W 106TH St Ste 150
Carmel, IN 46032-9245

Mailing address

3985 W 106TH St Ste 150
Carmel, IN 46032-9245
Phone (317) 872-0173

National Provider Directory

National Provider Directory

Locations

3985 W 106th St
Ste 150
Carmel, IN 46032
Phone (317) 872-0173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356401657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 W 106TH ST STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329245",
            "telephone_number": "317-872-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 W 106TH ST STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329245",
            "telephone_number": "317-872-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. LUND D.D.S., M.S.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-872-0173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "12007557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • 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.