Individual provider Active NPI

Mark A Charvat, DDS

  • Dentist
  • Dover, DE
National Provider Identifier
1467032565
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0011520 Issued in DE
Practice address
77 Saulsbury Rd
Dover, DE 19904-3444
Phone
(302) 678-2942
NPI assigned
Apr 12, 2021
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G1-0011520 DE Primary

Addresses

Primary practice location

77 Saulsbury Rd
Dover, DE 19904-3444

Mailing address

77 Saulsbury Rd
Dover, DE 19904-3444
Phone (302) 678-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20210701000055 DE Order and Referring Only - DentistPractitioner - Dentist 2062813777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011520DEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Dental Associates Dentist PastSince Jul 17, 2022 Accepting new patients
Mercer Dental Associates Dentist PastSince Jul 17, 2022 Accepting new patients

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1467032565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-678-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-678-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARVAT",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0011520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.