Mark Wade Ziegler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5993 Issued in OK

Practice address

6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033

Phone

(580) 241-5294

Fax

(580) 241-5739

NPI assigned

May 16, 2007

Last updated

Sep 3, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiamichi Family Medical Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Broken Bow, OK
  • NPI 1134138720
  NPD (past)
• Kiamichi Family Medical Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Idabel, OK
  • NPI 1184633786
  NPD (past)
• Kiamichi Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hugo, OK
  • NPI 1902269012
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1578770970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "BATTIEST",
            "state": "OK",
            "postal_code": "747220180",
            "telephone_number": "580-241-5294",
            "fax_number": "580-241-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 BATTIEST PICKENS RD",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285033",
            "telephone_number": "580-241-5294",
            "fax_number": "580-241-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "MARK",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18313",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glynis Watkins, LPC
• Mindi Westbrook
• Erika Ann White, MA
• Jessica Womack
• Linda Mounce Womack, L.P.C.

• General Practice Dentistry in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.