Individual provider Active NPI

Linda Markle, DMD

  • Dentist
  • Farmington, NM
National Provider Identifier
1811020316
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD5709 Issued in NM
Practice address
3501 N Butler Ave
Farmington, NM 87401-6429
Phone
(505) 564-4470
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD5709 NM Primary
Dentist 122300000X 7072 KY

Addresses

Primary practice location

3501 N Butler Ave
Farmington, NM 87401-6429

Mailing address

3 Road 3773
Farmington, NM 87401-3205
Phone (406) 653-1641

Other practice location 1

550 6th Ave North
Wolf Point, MT 59201
Phone (406) 653-1641 ext. 5649

Other identifiers 1

IdentifierTypeStateIssuer
556201MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151118000861 TX Order and Referring Only - DentistPractitioner - Dentist 9234439548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7072KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1811020316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROAD 3773",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013205",
            "telephone_number": "406-653-1641",
            "fax_number": "405-653-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016429",
            "telephone_number": "505-564-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 6th Ave North",
            "address_purpose": "LOCATION",
            "city": "Wolf Point",
            "state": "MT",
            "postal_code": "59201",
            "country_code": "US",
            "telephone_number": "406-653-1641 x5649",
            "fax_number": "409-653-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5709",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.