Mark A Naisbitt, DDS, MS ORTHODONTICS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8036426-9921 Issued in UT

Practice address

420 E South Temple
#312 - Monarch Dental Administration Office
Salt Lake City, UT 84111-1319

Phone

(801) 220-0940

Fax

(801) 220-0139

NPI assigned

Jan 29, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

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.

• Modern Dental Professionals Utah PC

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1912066424
  NPD (past)

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1477524411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE",
            "address_2": "#312 - MONARCH DENTAL ADMINISTRATION OFFICE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111319",
            "telephone_number": "801-220-0940",
            "fax_number": "801-220-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE",
            "address_2": "#312 - MONARCH DENTAL ADMINISTRATION OFFICE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111319",
            "telephone_number": "801-220-0940",
            "fax_number": "801-220-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAISBITT",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MS ORTHODONTICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "8036426-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Yuri Nagata, FNP
• Gregory Edward Nagel, CASE MANAGER
• Denver Decker Nageli, BC. HIS
• Stephanie Rita Nahhas, OD
• Susan R. Naidu
• Megan Marie Naisbitt
• Aimee Nakai
• Aimee Marie Nakamura
• Calvin Richard Nakamura, RPH
• Ken A. Nakanote, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.