Mark J Greenwald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27146 Issued in FL

Practice address

5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418

Phone

(941) 343-9777

NPI assigned

Apr 9, 2020

Sex

Male

Sole proprietor

Yes

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1629697669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8446 LOCKWOOD RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432920",
            "telephone_number": "720-357-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 FRUITVILLE RD STE 16",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326418",
            "telephone_number": "941-343-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R Greene, MD
• Jasmine Greene
• Kristie A Greene, M.D.
• Richard Jeffrey Greenspan, D.D.S.
• Greenview Support Services LLC
• Rebekah Greer
• Stacy Lynn Greeter, M.D
• Carol Gregg, RN, IBCLC
• Gregory D Hicks M.D. P.a-Plastic & Reconsructive Surgery
• Gregory Logan DC, PA

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.