Mark Stuart Isler, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901019162 Issued in MI

Practice address

41491 Mitchell Rd
Novi, MI 48377-2896

Phone

(248) 761-9457

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1659589075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41491 MITCHELL RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772896",
            "telephone_number": "248-761-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41491 MITCHELL RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772896",
            "telephone_number": "248-761-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLER",
        "first_name": "MARK",
        "middle_name": "STUART",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019162",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901019162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wayne Irvine
• Anita Beth Irving
• Charles Irving
• Rylie K Isaacson
• Danielle Clarice Isham, MD
• Ali Hassan Ismail, D..D.S
• Beenish Ismail
• Carla Ismail
• Muna Ismail
• Michelle Isreal

• Periodontics in Novi, MI
• Providers in Novi, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.