NPIMap

Organization Active NPI

Mark I Ensman DDS PA

  • Dental Clinic/Center
  • Emporia, KS
National Provider Identifier
1376632083
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5429 Issued in KS
Legal business name
MARK I ENSMAN DDS PA
Practice address
2516 W 15TH Ave
Emporia, KS 66801-6102
Phone
(620) 342-8032
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mark EnsmanNPI 1902029333
Title
President
Phone
(620) 342-8032

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
Dental Clinic/Center 261QD0000X 5429 KS Primary

Addresses

Primary practice location

2516 W 15TH Ave
Emporia, KS 66801-6102

Mailing address

2516 W 15TH Ave
Emporia, KS 66801-6102
Phone (620) 342-8032

National Provider Directory

National Provider Directory

Locations

2516 W 15th Ave
Emporia, KS 66801
Phone (620) 342-8032

Practitioners & affiliated clinicians

Practitioners 2

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1376632083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016102",
            "telephone_number": "620-342-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016102",
            "telephone_number": "620-342-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK I ENSMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ENSMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-342-8032"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.