Douglas Richard Marks, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS025543L Issued in PA

Practice address

2340 Derry St
Harrisburg, PA 17104

Phone

(717) 564-5147

Fax

(717) 564-5147

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407921422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 DERRY ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17104",
            "telephone_number": "717-564-5147",
            "fax_number": "717-564-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 DERRY ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17104",
            "telephone_number": "717-564-5147",
            "fax_number": "717-564-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DOUGLAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025543L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a Lippi DC PC (Center City Chiropractic)
• Mark S. Boland D.O., F.a.C.O.S.,P.C.
• Sumita Markana
• Hunter Markle, D.O.
• Anne Elizabeth Marks, LSW
• Samantha Armour Marks, PHARMD
• Paul Anthony Marra, RPH
• Diana Marshalek, RPH
• Eva Marie Marshall, PMHNP-BC
• Jill Ann Marshall, LIC, MS

• Dentist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dentist in Pennsylvania

• 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.

Verify at the official NPI Registry.