Active NPI
Mark R Sheils DDS PC
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1467596767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MARK R SHEILS DDS PC
- Practice address
- 1300 Gateway Dr S
Fargo, ND 58103-3509 - Phone
- (701) 232-6683
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark R Sheils, DDS
- Title
- Owner
- Phone
- (701) 232-6683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1300 Gateway Dr S
Fargo, ND 58103-3509
Mailing address
1300 Gateway Dr S
Fargo, ND 58103-3509
Phone (701) 232-6683
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1467596767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 GATEWAY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581033509",
"telephone_number": "701-232-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 GATEWAY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581033509",
"telephone_number": "701-232-6683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK R SHEILS DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "SHEILS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-232-6683",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.