Mark J. Kearns, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS028294L Issued in PA

Practice address

1412 Bridge St
New Cumberland, PA 17070-1117

Phone

(717) 774-1200

Fax

(717) 774-2568

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Minium, Kearns and Lamb Orthodontists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New Cumberland, PA
  • NPI 1811028350
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699806158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701117",
            "telephone_number": "717-774-1200",
            "fax_number": "717-774-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701117",
            "telephone_number": "717-774-1200",
            "fax_number": "717-774-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS028294L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV. #",
            "identifier": "MI279056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Kelly Jordan, LMT, NCTMB
• Dhanaraj Kabali, B.S. PHARM MBA
• Alexander G Kabusk, LSW
• Amanda Maria Karlie
• Dennis Herbert Katz, DMD
• Richard Larry Kell
• Liza Kessling, DO
• Keystone Community Medical Services
• Kimbrough Acc Military MTF
• Lynne King

• Orthodontics and Dentofacial Orthopedics Dentistry in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.