Active NPI
Mark Francis Forwood, DMD
- Dentist
- Swarthmore, PA
National Provider Identifier
1508221995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040272
- Practice address
- 107 Rutgers Ave Ste 2
Swarthmore, PA 19081-1725 - Phone
- (610) 543-7444
- NPI assigned
- Dec 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040272 | PA | Primary |
Addresses
Primary practice location
107 Rutgers Ave Ste 2
Swarthmore, PA 19081-1725
Mailing address
305 Henry LN
Wallingford, PA 19086-6411
Phone (610) 745-4139
Other practice location 1
429 N Springfield Rd
Clifton Heights, PA 19018-1114
Phone (610) 623-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040272 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1508221995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HENRY LN",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866411",
"telephone_number": "610-745-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 RUTGERS AVE STE 2",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811725",
"telephone_number": "610-543-7444"
}
],
"practiceLocations": [
{
"address_1": "429 N Springfield Rd",
"address_purpose": "LOCATION",
"city": "Clifton Heights",
"state": "PA",
"postal_code": "190181114",
"country_code": "US",
"telephone_number": "610-623-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORWOOD",
"first_name": "MARK",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swarthmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.