Mark A D'Agostino, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031437L Issued in PA

Practice address

600 High Blvd
Suite E
Reading, PA 19607-2155

Phone

(610) 796-2120

Fax

(610) 796-2160

NPI assigned

Oct 4, 2006

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

Enrolled in PA

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

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.

• Kathy J Gurski DMD & Mark a D'Agostino DMD, PC

  • General Practice Dentistry
  • Reading, PA
  • NPI 1053406009
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457446494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MORGAN SPRING DR",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195438906",
            "telephone_number": "610-913-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGH BLVD",
            "address_2": "SUITE E",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072155",
            "telephone_number": "610-796-2120",
            "fax_number": "610-796-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031437L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Cuddeback, COTA/L
• Christopher M Cupitt, PA-C
• Hannah Curry
• Charles Hummer Curtis, BCH
• Cyril V Leddy DDS PC
• Luz Madelyn Dabo
• Karen Ann Daigneault, MA, LPC
• Samantha Jordan Dalton, ATC
• Brooke Damore
• Daniel & Max, LLC

• General Practice Dentistry in Reading, PA
• Providers in Reading, PA by specialty
• General Practice Dentistry 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.
• 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.