Mark K Barone, D.D.S.
Individual provider Active NPI General Practice Dentistry · Warsaw, NY
NPI 1689798209 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1689798209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 039467-1 (NY)
- Practice address
- 34 Duncan St
Warsaw, NY 14569-1017 - Phone
- (585) 786-3676
- Fax
- (585) 786-3896
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140811000154 | NY | Order and Referring Only - Oral Surgery |
2668643628 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039467-1 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 039467-1 | NY | Yes |
Addresses
Primary practice location
34 Duncan St
Warsaw, NY 14569-1017
Mailing address
34 Duncan St
Warsaw, NY 14569-1017
Phone (585) 786-3676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161350913 | Other | NY | CORP TAX ID# |
| 00934047 | Medicaid | NY |
Other providers in Warsaw, NY
- Nancy J. Balbick
- Brittany Marie Ball
- Joyce Louise Barker
- Bridget E Barnes
- Patricia Ann Baron-Mills
- Jamie Bates
- Justin A. Bayliss
- Bayoumi Medical PLLC
- Ahmed M Bayoumi
- Marla Beachy
All providers in Warsaw, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.