Mark Richard Oblad, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7744 Issued in AZ

Practice address

14155 N 83Rd Ave Ste 141
Peoria, AZ 85381-5652

Phone

(623) 878-1000

Fax

(623) 878-1024

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• North Valley Endodontics, P.a.

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1497725162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 141",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815652",
            "telephone_number": "623-878-1000",
            "fax_number": "623-878-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 141",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815652",
            "telephone_number": "623-878-1000",
            "fax_number": "623-878-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLAD",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "4943072-9921",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "7744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Damaris Oaida, DMD
• Robert Lee Oakeson, P.T.
• Melody Oaks, CN
• Oasis Dentistry PLLC
• Oasis House Call LLC
• Jill Marie Obrien, LAC, D.O.M.
• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest PA
• Ashley Ochoa Villegas
• Kimberly A Ochoa, MS, OTR/L, BCBA

• Endodontics in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.