Organization Active NPI

Mark Huls D.M.D., P.C.

  • Dental Clinic/Center
  • Champaign, IL
National Provider Identifier
1457475527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARK HULS D.M.D., P.C.
Practice address
481 Devonshire Dr
Champaign, IL 61820-7230
Phone
(217) 352-4334
Fax
(217) 398-7837
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Bryan Huls, D.M.D.NPI 1689686735
Title
Orthodontist
Phone
(217) 352-4334

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
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

481 Devonshire Dr
Champaign, IL 61820-7230

Mailing address

481 Devonshire Dr
Champaign, IL 61820-7230
Phone (217) 352-4334

National Provider Directory

National Provider Directory

Locations

481 Devonshire Dr
Champaign, IL 61820
Phone (217) 352-4334

Practitioners & affiliated clinicians

Practitioners 1

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457475527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207230",
            "telephone_number": "217-352-4334",
            "fax_number": "217-398-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207230",
            "telephone_number": "217-352-4334",
            "fax_number": "217-398-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK HULS D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "217-352-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.