Mark W. Icard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5668 Issued in NC

Legal business name

MARK W. ICARD, D.D.S.

Practice address

5500 Highway 49 S
Suite 500
Harrisburg, NC 28075-8414

Phone

(704) 455-5003

Fax

(704) 455-3587

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Winslow Icard, D.D.S.NPI 1043256985

Title

Dentist

Phone

(704) 455-5003

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Winslow Icard, D.D.S.

  • General Practice Dentistry
  • Harrisburg, NC
  • NPI 1043256985
  NPD (past) Authorized official
• Jason C. Strein, D.D.S.

  • Dentist
  • Harrisburg, NC
  • NPI 1770929531
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841494341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HIGHWAY 49 S",
            "address_2": "SUITE 500",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758414",
            "telephone_number": "704-455-5003",
            "fax_number": "704-455-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HIGHWAY 49 S",
            "address_2": "SUITE 500",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758414",
            "telephone_number": "704-455-5003",
            "fax_number": "704-455-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. ICARD, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ICARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WINSLOW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-455-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Loutzenhiser, PHARMD
• Love Chiropractic Center Harrisburg, Inc.
• Lovely Transportation LLC
• Samuel Thomas Luna, PHARMD
• Alissa Gayle Macrina, MS, CCC-SLP
• Aundrea Lynn Marra, MD
• Martha D. Smyre OD
• Aaron Martin
• Stacey W Martin, MD
• Kayla Dawn Marvin, PHARMD

• General Practice Dentistry in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.