Mark Edward Demaria, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS039210 Issued in PA

Practice address

186 Skyview Dr
New Alexandria, PA 15670-2768

Phone

(724) 600-4512

Fax

(724) 668-2289

NPI assigned

Mar 19, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1528300472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 SKYVIEW DR",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "156702768",
            "telephone_number": "724-600-4512",
            "fax_number": "724-668-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 SKYVIEW DR",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "156702768",
            "telephone_number": "724-600-4512",
            "fax_number": "724-668-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS039210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Christianson, MD
• Nicholas S Costanzo, DPT
• Gary A Cuccia, DC
• D'Aurora Hearing and Audiology, LLC
• Caroline R D'Aurora, M.A., CCC-A
• Ehpp Chestnut Ridge LLC (Excela Chestnut Ridge New Alexandria)
• Heather Huemme
• Jennifer Marie Hufford
• Eric D Kaufman, D.C.
• Kids Care Pediatrics, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in New Alexandria, PA
• Providers in New Alexandria, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.