Individual provider Active NPI

Norman Jay Marks, D.D.S.

  • General Practice Dentistry
  • Mechanicsville, VA
National Provider Identifier
1699010116
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401004126 Issued in VA
Practice address
9150 Dickey Dr
Mechanicsville, VA 23116-2502
Phone
(804) 746-3336
Fax
(804) 746-3577
NPI assigned
Dec 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401004126 VA Primary

Addresses

Primary practice location

9150 Dickey Dr
Mechanicsville, VA 23116-2502

Mailing address

9150 Dickey Dr
Mechanicsville, VA 23116-2502
Phone (804) 746-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105003023 VA Order and Referring Only - DentistPractitioner - Dentist 8224330469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401004126VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marks Family Dentistry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1699010116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-746-3336",
            "fax_number": "804-746-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-746-3336",
            "fax_number": "804-746-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "NORMAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.