Active NPI
Mark Edward Hampton, D.D.S.
- General Practice Dentistry
- Dunnellon, FL
National Provider Identifier
1356483010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10759
- Practice address
- 11902 Illinois St.
Dunnellon, FL 34431 - Phone
- (352) 489-5071
- Fax
- (352) 489-4293
- NPI assigned
- Feb 12, 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 | 10759 | FL | Primary |
Addresses
Primary practice location
11902 Illinois St.
Dunnellon, FL 34431
Mailing address
P.O. Box 896
Dunnellon, FL 34431
Phone (352) 489-5071
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67509 | Other | FL | BCBS OF FL |
| 10759 | Other | FL | STATE LICENSE |
| 608704 | Other | FL | UNITED CONCORDIA |
| UCCI608704 | Other | FL | DELTA |
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 |
|---|---|---|---|
| 10759 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356483010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 896",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "34431",
"telephone_number": "352-489-5071",
"fax_number": "352-489-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 ILLINOIS ST.",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "34431",
"telephone_number": "352-489-5071",
"fax_number": "352-489-4293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "10759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "67509",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "10759",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "608704",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "UCCI608704",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunnellon, FL
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.