Active NPI
Mark D. George, D.D.S.
- Dentist
- Colorado Springs, CO
National Provider Identifier
1659527950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9700
- Practice address
- 7770 N Union Blvd
Colorado Springs, CO 80920-4087 - Phone
- (719) 594-9797
- Fax
- (719) 594-6713
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9700 | CO | Primary |
Addresses
Primary practice location
7770 N Union Blvd
Colorado Springs, CO 80920-4087
Mailing address
7770 N Union Blvd
Colorado Springs, CO 80920-4087
Phone (719) 594-9797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9700 | Other | CO | COLORADO DENTAL LICENSE |
| 6760 | Other | NE | NE DENTAL LICENSE |
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 |
|---|---|---|---|
| 9700 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1659527950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204087",
"telephone_number": "719-594-9797",
"fax_number": "719-594-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204087",
"telephone_number": "719-594-9797",
"fax_number": "719-594-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "MARK",
"middle_name": "D.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DENTAL LICENSE",
"identifier": "9700",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE DENTAL LICENSE",
"identifier": "6760",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.