Active NPI
Mark M. Scura, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Concord, NH
National Provider Identifier
1750333969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2186
- Practice address
- 194 Pleasant St
Suite 13
Concord, NH 03301-2952 - Phone
- (603) 225-3482
- Fax
- (603) 224-2331
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2186 | NH | Primary |
Addresses
Primary practice location
194 Pleasant St
Suite 13
Concord, NH 03301-2952
Mailing address
194 Pleasant St
Suite 13
Concord, NH 03301-2952
Phone (603) 225-3482
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1293 | Other | NH | CIGNA |
| 80009374 | Medicaid | NH | |
| H000186 | Other | NH | CHAMPUS |
| 0206130Y0NH01 | Other | NH | BLUE CROSS/BLUE SHIELD |
| 1053 | Other | NH | NORTHEAST DELTA DENTAL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2186 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1750333969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 PLEASANT ST",
"address_2": "SUITE 13",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012952",
"telephone_number": "603-225-3482",
"fax_number": "603-224-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 PLEASANT ST",
"address_2": "SUITE 13",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012952",
"telephone_number": "603-225-3482",
"fax_number": "603-224-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCURA",
"first_name": "MARK",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NH",
"license": "2186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1293",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80009374",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "H000186",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0206130Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST DELTA DENTAL",
"identifier": "1053",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.