Mark P Sakamaki, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12011074A Issued in IN

Practice address

4801 Paoli Pike
Suite 202
Floyds Knobs, IN 47119-9695

Phone

(812) 923-1500

Fax

(812) 923-7706

NPI assigned

Sep 13, 2006

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calvin Duke Enterprises

  • Endodontics
  • Floyds Knobs, IN
  • NPI 1215155155
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1366547887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 PAOLI PIKE",
            "address_2": "SUITE 202",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199695",
            "telephone_number": "812-923-1500",
            "fax_number": "812-923-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 PAOLI PIKE",
            "address_2": "SUITE 202",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199695",
            "telephone_number": "812-923-1500",
            "fax_number": "812-923-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMAKI",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12011074A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brielle Ringle, MSAT, LAT, ATC
• Krista Shyanne Robbins, MD
• Sharon Ann Rohrman, PTA
• Parker G Rose, DPT
• Jenifer Roution, MSPT
• Kristan Scarbrough, MSN, APRN, FNP-BC
• William Schmitz
• Schroeder Dental, Inc.
• Philip Stuart Seng, DC
• Heidi L. Seuling, CRNA

• Endodontics in Floyds Knobs, IN
• Providers in Floyds Knobs, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.