Mark Alexander Pitts, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11347 Issued in MD

Practice address

6550 Mercantile Dr E
Suite 101
Frederick, MD 21703-7547

Phone

(301) 698-5208

Fax

(301) 698-1848

NPI assigned

Jul 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447279120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DIXON RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048137",
            "telephone_number": "301-874-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MERCANTILE DR E",
            "address_2": "SUITE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037547",
            "telephone_number": "301-698-5208",
            "fax_number": "301-698-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "11347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "760431",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark Pinson, PH.D.
• Jessica Pina Pires Castelle, FNP-C
• Caroline Anne Pirtle
• Crystal Pitt, LCSW-C
• Barbara Pittaras, OD
• Thomas Pitts
• Pivot Physical Therapy of Central Maryland LLC
• Kathleen Plant, LMSW
• Kevin Charles Platt, PT
• Caitlin Brooke Plourde, BEHAVIOR TECHNICIAN

• Oral and Maxillofacial Surgery (Dentist) in Frederick, MD
• Providers in Frederick, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• 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.