Active NPI
Mark D. Pabst Family Dentistry
- General Practice Dentistry
- Greenville, NC
National Provider Identifier
1710039482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6249
- Legal business name
- MARK D. PABST FAMILY DENTISTRY
- Practice address
- 2799 Charles Blvd
Greenville, NC 27858-5933 - Phone
- (252) 355-2300
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark D Pabst III
- Title
- Owner
- Phone
- (252) 355-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6249 | NC | Primary |
Addresses
Primary practice location
2799 Charles Blvd
Greenville, NC 27858-5933
Mailing address
2799 Charles Blvd
Greenville, NC 27858-5933
Phone (252) 355-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831130780 | Other | NC | INDIVIDUAL NPI |
| 8996588 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Greenville, NC
- NPI 1851464432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710039482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 CHARLES BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585933",
"telephone_number": "252-355-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 CHARLES BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585933",
"telephone_number": "252-355-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK D. PABST FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PABST",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-355-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1831130780",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8996588",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
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.