Organization Active NPI

MRC Dental Group

  • Dentist
  • Orlando, FL
National Provider Identifier
1366977282
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MRC DENTAL GROUP
Practice address
425 S Avalon Park Blvd Ste 500
Orlando, FL 32828-6703
Phone
(407) 249-9292
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Marc R Chapkis, DMD
Title
Owner
Phone
(407) 249-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

425 S Avalon Park Blvd Ste 500
Orlando, FL 32828-6703

Mailing address

425 S Avalon Park Blvd Ste 500
Orlando, FL 32828-6703
Phone (407) 249-9292

National Provider Directory

National Provider Directory

Locations

425 S Avalon Park Blvd
Ste 500
Orlando, FL 32828
Phone (407) 249-9292

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1366977282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S AVALON PARK BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286703",
            "telephone_number": "407-249-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S AVALON PARK BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286703",
            "telephone_number": "407-249-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAPKIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-249-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.