Mark Anthony Marbach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36640 Issued in TX

Practice address

1404 Stonehollow Dr Ste B
Humble, TX 77339-2070

Phone

(281) 358-6414

Fax

(281) 358-8542

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobile Anesthesiologists of Houston, PLLC

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1336310366
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1801403316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 STONEHOLLOW DR STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773392070",
            "telephone_number": "281-358-6414",
            "fax_number": "281-358-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 STONEHOLLOW DR STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773392070",
            "telephone_number": "281-358-6414",
            "fax_number": "281-358-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBACH",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164511192",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "darlene@kwdds.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1404 Stonehollow Dr Ste B",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773392070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Michael Mann, M.D.
• Paul Michael Mann II, M.D.
• Mantraco, LLP
• Dan Mao, PHARM.D.
• Naddi Marah, M.D.
• Lydia Marcelle, PHARMD
• Caroline A Marcus, MD
• Maria S Dsouza Ms MD
• Michelle Navalance Mariani, M.S., CCC-SLP
• Dominic Mariscal

• General Practice Dentistry in Humble, TX
• Providers in Humble, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.