Mark D Dollard, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000649 Issued in VA

Practice address

46440 Benedict Dr
Suite 111
Sterling, VA 20164-6602

Phone

(703) 444-9555

Fax

(703) 444-1190

NPI assigned

Nov 4, 2005

Last updated

Apr 20, 2015By 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 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Woodbridge, VA
  • NPI 1184731549

  DC

  Medicare reassignment NPD
• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Crofton, MD
  • NPI 1972171411
  NPD
• Twelvestone Infusion Centers LLC

  • Infusion Therapy Clinic/Center
  • Murfreesboro, TN
  • NPI 1447764857
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1427049766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR",
            "address_2": "SUITE 111",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "703-444-9555",
            "fax_number": "703-444-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR",
            "address_2": "SUITE 111",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "703-444-9555",
            "fax_number": "703-444-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLARD",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "48000120",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DMV Spine and Pain, PLLC
• Nino Mario Dobrovic, M.D.
• Doctalk LLC (Mintlife Health)
• Joseph Thomas Doiron
• Dolce Bella 1
• Felicia L Donald, M.D.
• Nancy Lodge Doody
• Kaitlyn E Dooley
• Lily Anne Dorrell
• Dove Home Health Care LLC (Dove Home Health Care)

• Foot & Ankle Surgery Podiatrist in Sterling, VA
• Providers in Sterling, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.