Organization Active NPI

Robert E Marks DDS PA

  • Dentist
  • Lake City, FL
National Provider Identifier
1700899382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN3359 Issued in FL
Legal business name
ROBERT E MARKS DDS PA
Practice address
389 SW Chapel Hill St
Lake City, FL 32025-6921
Phone
(386) 752-1220
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert E Marks, DDS
Title
Denist President
Phone
(386) 752-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN3359 FL Primary

Addresses

Primary practice location

389 SW Chapel Hill St
Lake City, FL 32025-6921

Mailing address

389 SW Chapel Hill St
Lake City, FL 32025-6921
Phone (386) 752-1220

National Provider Directory

National Provider Directory

Locations

389 SW Chapel Hill St
Lake City, FL 32025
Phone (386) 752-1220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700899382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SW CHAPEL HILL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256921",
            "telephone_number": "386-752-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SW CHAPEL HILL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256921",
            "telephone_number": "386-752-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MARKS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENIST PRESIDENT",
        "authorized_official_telephone_number": "386-752-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN3359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.