Individual provider Active NPI

Samuel Marksberry, DDS

  • General Practice Dentistry
  • Brownstown, IN
National Provider Identifier
1740173293
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12014736A Issued in IN
Practice address
120 E Bridge St
Brownstown, IN 47220-1521
Phone
(812) 358-2444
NPI assigned
Jun 2, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12014736A IN Primary

Addresses

Primary practice location

120 E Bridge St
Brownstown, IN 47220-1521

Mailing address

120 E Bridge St
Brownstown, IN 47220-1521
Phone (812) 528-2110

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

LicenseStateTypeSpecialty
12014736AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marksberry Family Dental General Practice CurrentSince Nov 9, 2025 Accepting new patients

Locations

120 E Bridge St
Brownstown, IN 47220
Phone (812) 358-2444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1740173293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E BRIDGE ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472201521",
            "telephone_number": "812-528-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BRIDGE ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472201521",
            "telephone_number": "812-358-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKSBERRY",
        "first_name": "SAMUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.