Mark L Dire, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4610 Issued in WA

Practice address

12917 SE 38TH St
#202
Bellevue, WA 98006-1349

Phone

(425) 747-8052

Fax

(425) 562-7222

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark L Dire DDS P.S.

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1164529301
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669566840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14259 209TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980775664",
            "telephone_number": "425-883-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 SE 38TH ST",
            "address_2": "#202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061349",
            "telephone_number": "425-747-8052",
            "fax_number": "425-562-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRE",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ding's Acupuncture, Massage & Herbs
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• Christopher Dinh, PA-C
• Carolyn Edith Dion, LMHC
• Allyse Dire-Day
• Kristin Dirks
• Discovery Practice Management, Inc (Center For Discovery, Bellevue OP)
• Discovery Practice Management, Inc (Center for Discovery, Bellevue RTC)
• Charlotte Dittmar, BCBA, LBA
• Kayla Divers

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

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

Verify at the official NPI Registry.