Clifford Owen Marks, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35143 Issued in CA

Practice address

1580 Winchester Blvd
Ste 303
Campbell, CA 95008-0519

Phone

(408) 378-3489

Fax

(408) 378-0134

NPI assigned

Jun 22, 2005

Last updated

Jun 21, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cmarks323724@direct.ochin.org

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.

• John a. Hughes, DDS Inc.

  dba Hughes Dental Group

  • General Practice Dentistry
  • Campbell, CA
  • NPI 1912080367
  NPD (past) Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1396741484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 WINCHESTER BLVD",
            "address_2": "STE 303",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080519",
            "telephone_number": "408-378-3489",
            "fax_number": "408-378-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 WINCHESTER BLVD",
            "address_2": "STE 303",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080519",
            "telephone_number": "408-378-3489",
            "fax_number": "408-378-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "CLIFFORD",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B35143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Mardesich
• Sarah Marrie Margolis, EMT
• Timothy Ray Mariels, MA
• Deanna Marin, BS
• Carla Guadalupe Mariscal
• Sucharitha Marneni, DDS
• Dalia Marquez
• Javier Marquez, LMT
• Trinity Marie Marrazzo, RD
• Claudia Leticia Marroquin

• General Practice Dentistry in Campbell, CA
• Providers in Campbell, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.