Active NPI
Mark H Dotson, D.P.M.
- Podiatrist
- Fort Smith, AR
National Provider Identifier
1689642019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 113
- Practice address
- 3501 We Knight Dr
Fort Smith, AR 72903-6248 - Phone
- (479) 709-6700
- Fax
- (479) 709-6751
- NPI assigned
- Mar 10, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 113 | AR | Primary |
Addresses
Primary practice location
3501 We Knight Dr
Fort Smith, AR 72903-6248
Mailing address
PO Box 11230
Fort Smith, AR 72917-1230
Phone (479) 709-6700
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480030238 | Other | AR | RAILROAD MEDICARE |
| 100780350A | Other | OK | OKLAHOMA MEDICAID |
| 4350578 | Other | AR | AETNA |
| 56219 | Other | AR | ARKANSAS BLUE CROSS |
| 119098717 | Medicaid | AR | |
| 8779903 | Other | AR | CIGNA |
| 904224 | Other | AR | USA MCO |
| 15283000000 | Other | AR | QUALCHOICE |
| 02720013 | Other | AR | UNITED HEALTHCARE |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Podiatrist | Current | Accepting new patients |
| Orthopaedics PA | Past | Accepting new patients |
Locations
2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101
3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700
Interoperability endpoints
- mdotson211173@directb.mercy.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1699070649
Podiatrist
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1619937745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1689642019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11230",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171230",
"telephone_number": "479-709-6700",
"fax_number": "479-709-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 WE KNIGHT DR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729036248",
"telephone_number": "479-709-6700",
"fax_number": "479-709-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "MARK",
"middle_name": "H",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480030238",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA MEDICAID",
"identifier": "100780350A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4350578",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BLUE CROSS",
"identifier": "56219",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119098717",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8779903",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MCO",
"identifier": "904224",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "15283000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "02720013",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.