Individual provider Active NPI

Marc Gary Resnick, DDS

  • General Practice Dentistry
  • Loveland, CO
National Provider Identifier
1457481996
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G354 Issued in CO
Practice address
126 E 29TH St
Loveland, CO 80538-2724
Phone
(970) 635-4353
Fax
(970) 635-4355
NPI assigned
Mar 6, 2007
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G354 CO Primary

Addresses

Primary practice location

126 E 29TH St
Loveland, CO 80538-2724

Mailing address

1500 Tundra Ave
Berthoud, CO 80513-4411
Phone (303) 946-5154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G354COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Dental Centers Loveland General Practice CurrentSince Oct 29, 2023 Accepting new patients
Katherine Hattel Harmon, DDS PC General Practice PastSince Oct 29, 2023 Accepting new patients

Locations

126 E 29th St
Loveland, CO 80538
Phone (970) 635-4353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1457481996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TUNDRA AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805134411",
            "telephone_number": "303-946-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 29TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382724",
            "telephone_number": "970-635-4353",
            "fax_number": "970-635-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "MARC",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "G354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.