Mark a. Mikus, D.M.D., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DS031540L Issued in PA

Legal business name

MARK A. MIKUS, D.M.D., INC.

Practice address

9400 McKnight Rd Ste 101
Pittsburgh, PA 15237-6007

Phone

(412) 369-7122

Fax

(412) 369-7433

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Mikus

Title

Office Manager

Phone

(724) 772-3209

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A. Mikus, D.M.D.

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1912997735
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1558533422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CREEKSIDE CT",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 MCKNIGHT RD STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376007",
            "telephone_number": "412-369-7122",
            "fax_number": "412-369-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MIKUS, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MIKUS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-772-3209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031540L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018411370005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L Marinov, M.A.T.
• Evelyn Mariperisena-Meinert, SLP
• Marisa Floro, LCSW
• Vincenzo Nicola Mariscotti, ATC
• Kelly Mariska, LCSW
• Mark Minder LCSW
• Mark R Grenadier DDS, P.C.
• Mark R. Jones, LCSW, LLC
• Mark Shoaf Professional Counseling
• Carolyn Mark, RN

• Dentist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.