Mark J McClure, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5597 Issued in MD

Practice address

6200 Baltimore Ave
Suite 200
Riverdale, MD 20737-1054

Phone

(301) 864-5200

Fax

(301) 864-5759

NPI assigned

Oct 18, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group

  • Dentist
  • Riverdale, MD
  • NPI 1578644472
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467533307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BALTIMORE AVE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371054",
            "telephone_number": "301-864-5200",
            "fax_number": "301-864-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BALTIMORE AVE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371054",
            "telephone_number": "301-864-5200",
            "fax_number": "301-864-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derick Mbanwei
• Veronica Mbole Efosi
• Blesse Mbubit
• Kert Mbuyu
• McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group
• Joanne Meighoo
• Carla Marisol Menjivar
• Anitha Menon, M.D.
• Unknown Mercy Efosi Meombe
• Mercyland Healthcare Services, Inc

• General Practice Dentistry in Riverdale, MD
• Providers in Riverdale, MD by specialty
• General Practice Dentistry in Maryland

• 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; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.