Individual provider Active NPI

Mark A. Espinal, D.M.D.

  • Dentist
  • Rock Hill, SC
National Provider Identifier
1700033248
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4520 Issued in SC
Practice address
2391 Dave Lyle Blvd
Suite 100
Rock Hill, SC 29730-7939
Phone
(803) 325-9000
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4520 SC Primary

Addresses

Primary practice location

2391 Dave Lyle Blvd
Suite 100
Rock Hill, SC 29730-7939

Mailing address

2391 Dave Lyle Blvd
Suite 100
Rock Hill, SC 29730-7939
Phone (803) 325-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150824000297 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042525891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4520SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1700033248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 DAVE LYLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307939",
            "telephone_number": "803-325-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 DAVE LYLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307939",
            "telephone_number": "803-325-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINAL",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.