Mark Martin Stapleton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12106 Issued in MN

Practice address

1580 White Oak Dr
Suite 275
Chaska, MN 55318-2919

Phone

(952) 448-2868

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1497978878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 WHITE OAK DR",
            "address_2": "SUITE 275",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182919",
            "telephone_number": "952-448-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 WHITE OAK DR",
            "address_2": "SUITE 275",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182919",
            "telephone_number": "952-448-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "MARK",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3829",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Lake Clinic, PA
• Southwest Eye Care Inc
• Jessica M Speers, PHARMD
• Spirit of Hope, LLC
• Regina Ann Srsen
• Kathryn Alane Stedronsky
• Amy Lynn Steffen, CPNP
• Stella Heights Counseling Center
• Megan Michelle Stella
• Mackenzie Stickney, LMFT

• General Practice Dentistry in Chaska, MN
• Providers in Chaska, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.