Organization Active NPI

Marklin Holdings PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1629475637
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22771 Issued in TX
Legal business name
MARKLIN HOLDINGS PLLC
Practice address
1476 Eastchase Pkwy
Fort Worth, TX 76120
Phone
(817) 451-9588
Fax
(817) 451-1242
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Dr. Mark Angerbauer, DDS
Title
Owner
Phone
(817) 451-9588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22771 TX
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22771 TX Primary

Addresses

Primary practice location

1476 Eastchase Pkwy
Fort Worth, TX 76120

Mailing address

1476 Eastchase Pkwy
Fort Worth, TX 76120
Phone (817) 451-9588

Other names 1

  • Greystone Dental & Orrthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1476 Eastchase Pkwy
Fort Worth, TX 76120
Phone (817) 451-9588

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1629475637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 EASTCHASE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76120",
            "telephone_number": "817-451-9588",
            "fax_number": "817-451-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 EASTCHASE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76120",
            "telephone_number": "817-451-9588",
            "fax_number": "817-451-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLIN HOLDINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "ANGERBAUER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-451-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22771",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greystone Dental & Orrthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.