Active NPI
Dan Joseph Mar I
- Counselor
- Bella Vista, AR
National Provider Identifier
1821368572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 21 Holcombe LN
Bella Vista, AR 72714-4223 - Phone
- (479) 855-5744
- NPI assigned
- Jan 11, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
21 Holcombe LN
Bella Vista, AR 72714-4223
Mailing address
21 Holcombe LN
Bella Vista, AR 72714-4223
Phone (479) 855-5744
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1821368572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLCOMBE LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727144223",
"telephone_number": "479-855-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HOLCOMBE LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727144223",
"telephone_number": "479-855-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "DAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.