Active NPI
Mark R Ford, D.D.S
- General Practice Dentistry
- Milford, OH
National Provider Identifier
1649306358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17337
- Practice address
- 536 Main St
Milford, OH 45150-1150 - Phone
- (513) 248-1233
- Fax
- (513) 831-6121
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17337 | OH | Primary |
Addresses
Primary practice location
536 Main St
Milford, OH 45150-1150
Mailing address
536 Main St
Milford, OH 45150-1150
Phone (513) 248-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17337 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1649306358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501150",
"telephone_number": "513-248-1233",
"fax_number": "513-831-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501150",
"telephone_number": "513-248-1233",
"fax_number": "513-831-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MARK",
"middle_name": "R",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "17337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.