Mark Austin Tepper, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

35414 Issued in NY

Practice address

630 5TH Ave
Suite 1863
New York, NY 10111-0100

Phone

(212) 969-9690

Fax

(212) 489-3907

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730264623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1863",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-969-9690",
            "fax_number": "212-489-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "SUITE 1863",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-969-9690",
            "fax_number": "212-489-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "MARK",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "35414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Tepper, MPS, ATR-BC, LCAT
• Emily Blythe Tepper, DAC, LAC
• Gabriella Leora Tepper, DNP-CNM
• Jesse J Tepper, PHD
• Lesley D. Tepper, LCSW
• Miriam Cohen Tepper, MD
• Oren Tepper, MD
• Randi Nicole Tepper, M.S.
• Sari Elizabeth Tepper, MS, RD
• Adam Lyle Tepperman, DDS

• Endodontics in New York, NY
• Providers in New York, NY by specialty
• Endodontics in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.