Nelson J Mar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4741 Issued in AZ

Practice address

5220 North Dysart Rd
Suite 144
Litchfield Park, AZ 85340-3047

Phone

(623) 536-6845

Fax

(623) 536-7989

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nelson J. Mar DDS PC

  • Dentist
  • Litchfield Park, AZ
  • NPI 1104393826
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1851447601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 N. DYSART RD",
            "address_2": "STE 144",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403047",
            "telephone_number": "623-536-6845",
            "fax_number": "623-536-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NORTH DYSART RD",
            "address_2": "SUITE 144",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403047",
            "telephone_number": "623-536-6845",
            "fax_number": "623-536-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "NELSON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4741",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo J Maisano, COTA/L
• Renata Majda, OD
• Nancy Michelle Maldonado Gonzalez, RBT
• Lucy N Mambo, PHARMD
• Scott T Manecke, PT, DPT
• Raquel Marquez, RBT
• Abigail Marschman
• Gigi Marie Marteney, M.S., L.P.C.
• Patrick G Martin, DDS
• Holly Lynn Martinell, AG-ACNP

• Dentist in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.