Active NPI
Mark Steven Stein, DDS
- Dentist
- Freeport, PA
National Provider Identifier
1679538136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS024238L
- Practice address
- 500 Franklin Street
Freeport, PA 16229-1218 - Phone
- (724) 295-5118
- Fax
- (724) 295-5119
- NPI assigned
- Apr 19, 2006
- Last updated
- Mar 19, 2014
- 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 | DS024238L | PA | Primary |
Addresses
Primary practice location
500 Franklin Street
Freeport, PA 16229-1218
Mailing address
PO Box 147
Freeport, PA 16229
Phone (724) 295-5118
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1679538136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147",
"city": "FREEPORT",
"state": "PA",
"postal_code": "16229",
"telephone_number": "724-295-5118",
"fax_number": "724-295-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FRANKLIN STREET",
"city": "FREEPORT",
"state": "PA",
"postal_code": "162291218",
"telephone_number": "724-295-5118",
"fax_number": "724-295-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "MARK",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS024238L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.