NPIMap

Organization Active NPI

Mark R Driver DMD PC

  • General Practice Dentistry
  • Roseburg, OR
National Provider Identifier
1447538392
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK R DRIVER DMD PC
Practice address
1651 NW Hughwood Court
Roseburg, OR 97471-8834
Phone
(541) 672-8187
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Mark DriverNPI 1952469868
Title
Owner
Phone
(541) 672-8187

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
General Practice Dentistry 1223G0001X OR Primary

Addresses

Primary practice location

1651 NW Hughwood Court
Roseburg, OR 97471-8834

Mailing address

1651 NW Hughwood CT
Roseburg, OR 97471-8834

National Provider Directory

National Provider Directory

Locations

1651 NW Hughwood Ct
Roseburg, OR 97471
Phone (541) 672-8187

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1447538392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NW HUGHWOOD CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 NW HUGHWOOD COURT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718834",
            "telephone_number": "541-672-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R DRIVER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-8187"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.