Mark D. Hurd, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6486 Issued in CO

Legal business name

MARK D. HURD, D.D.S.

Practice address

3901 Outlook Blvd
Suite C
Pueblo, CO 81008-1698

Phone

(719) 544-7020

Fax

(719) 544-5982

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Mark D Hurd, DDSNPI 1265632871

Title

Owner

Phone

(719) 544-7020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Hurd, D.D.S.

  • Dentist
  • Pueblo, CO
  • NPI 1265632871
  NPD (past) Authorized official
• Sarah K Keller, DDS

  • Dentist
  • Pueblo, CO
  • NPI 1619497088
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1679949853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 OUTLOOK BLVD",
            "address_2": "SUITE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081698",
            "telephone_number": "719-544-7020",
            "fax_number": "719-544-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OUTLOOK BLVD",
            "address_2": "SUITE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081698",
            "telephone_number": "719-544-7020",
            "fax_number": "719-544-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. HURD, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-544-7020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "6486",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Promise Marhofer
• Maria a Rodriguez, PH.D.
• Dominic P Marin
• Philip Charles Marin, MD
• Jose Mariscal
• Kelsey Lynn Markenson, FNP-BC, AGACNP-BC
• Lisa Markley
• Brianna Jo Markowski
• Bonnie Kay Marks, LMFT
• Megan Marks

• Dentist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.