Individual provider Active NPI

Mark Steven Traugh, DDS

  • Dentist
  • Delaware, OH
National Provider Identifier
1699029983
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30017432 Issued in OH
Practice address
5993 Home Rd
Delaware, OH 43015-9478
Phone
(740) 881-3559
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30017432 OH Primary

Addresses

Primary practice location

5993 Home Rd
Delaware, OH 43015-9478

Mailing address

5689 Rosecliff Dr
Hilliard, OH 43026-8831
Phone (614) 579-0323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30017432OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1699029983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 ROSECLIFF DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268831",
            "telephone_number": "614-579-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5993 HOME RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159478",
            "telephone_number": "740-881-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGH",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.