Mark D. Markham, DDS, PLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6473 Issued in IA

Legal business name

MARK D. MARKHAM, DDS, PLC.

Practice address

1501 E 10TH St
Atlantic, IA 50022-1936

Phone

(712) 243-1833

Fax

(712) 243-7552

NPI assigned

Jan 28, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark David Markham, DDSNPI 1538280102

Title

Owner

Phone

(712) 243-1833

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark David Markham, D.D.S.

  • General Practice Dentistry
  • Atlantic, IA
  • NPI 1538280102
  Authorized official Same address or phone

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1669659108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-1833",
            "fax_number": "712-243-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-1833",
            "fax_number": "712-243-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. MARKHAM, DDS, PLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-243-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerson Allen Link, PHD LISW CEAP
• Kylee Loftus, MSN, APRN, FNP-C
• Makayla Kristine Lovelace
• Hugh M Lunt, RPH
• Rachel R Manna
• Mark David Markham, D.D.S.
• Stephanie Martin
• Chad L McCance, MD
• Heather McCosh, RN
• Mary McLaren, NCSP, CRC

• General Practice Dentistry in Atlantic, IA
• Providers in Atlantic, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.