Active NPI
Mark Steven Hodson, DDS
- Dentist
- Centerville, OH
National Provider Identifier
1700926631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14095
- Practice address
- 330 North Main Street
Centerville, OH 45459-4465 - Phone
- (937) 433-6903
- Fax
- (937) 433-0641
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14095 | OH | Primary |
Addresses
Primary practice location
330 North Main Street
Centerville, OH 45459-4465
Mailing address
330 North Main Street
Centerville, OH 45459-4465
Phone (937) 433-6903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0269721 | Medicaid | OH |
Other names 1
- Mark Steven Hodson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14095 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700926631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 NORTH MAIN STREET",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594465",
"telephone_number": "937-433-6903",
"fax_number": "937-433-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 NORTH MAIN STREET",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594465",
"telephone_number": "937-433-6903",
"fax_number": "937-433-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODSON",
"first_name": "MARK",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "14095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269721",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARK",
"last_name": "HODSON",
"middle_name": "STEVEN",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Centerville, OH
Sources for this page
- 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.