NPIMap

Organization Active NPI

Marckaren, Inc

  • General Practice Dentistry
  • North Ogden, UT
National Provider Identifier
1811329956
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
931439079922 Issued in UT
Legal business name
MARCKAREN, INC
Practice address
2251 N 400 E
North Ogden, UT 84414-7210
Phone
(801) 782-9544
Fax
(801) 786-0557
NPI assigned
Jul 31, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Marc Adam Collman, DDSNPI 1568406940
Title
Owner
Phone
(801) 782-9544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 931439079922 UT Primary

Addresses

Primary practice location

2251 N 400 E
North Ogden, UT 84414-7210

Mailing address

PO Box 13167
Ogden, UT 84412-3167
Phone (801) 782-9544

Other identifiers 1

IdentifierTypeStateIssuer
528866301007MedicaidUT

National Provider Directory

National Provider Directory

Locations

2251 N Washington Blvd
Ogden, UT 84414
Phone (801) 782-9544

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1811329956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13167",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844123167",
            "telephone_number": "801-782-9544",
            "fax_number": "801-786-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-9544",
            "fax_number": "801-786-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCKAREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "COLLMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-782-9544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "931439079922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528866301007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.