NPIMap

Organization Active NPI

Mark Franklin Sills DDS PC

  • General Practice Dentistry
  • Oolitic, IN
National Provider Identifier
1851451470
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009781 Issued in IN
Legal business name
MARK FRANKLIN SILLS DDS PC
Practice address
602 Hoosier Ave
Oolitic, IN 47451
Phone
(812) 279-2022
Fax
(812) 277-9915
NPI assigned
Dec 12, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Mark Franklin SillsNPI 1053484956
Title
DDS PC
Phone
(812) 279-2022

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009781 IN Primary

Addresses

Primary practice location

602 Hoosier Ave
Oolitic, IN 47451

Mailing address

PO Box 2
602 Hoosier Ave
Oolitic, IN 47451
Phone (812) 279-2022

Other identifiers 1

IdentifierTypeStateIssuer
200180760AMedicaidIN

National Provider Directory

National Provider Directory

Locations

602 Hoosier Ave
Oolitic, IN 47451
Phone (812) 279-2022

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1851451470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "address_2": "602 HOOSIER AVE",
            "city": "OOLITIC",
            "state": "IN",
            "postal_code": "47451",
            "telephone_number": "812-279-2022",
            "fax_number": "812-277-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HOOSIER AVE",
            "city": "OOLITIC",
            "state": "IN",
            "postal_code": "47451",
            "telephone_number": "812-279-2022",
            "fax_number": "812-277-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FRANKLIN SILLS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DDS PC",
        "authorized_official_telephone_number": "812-279-2022"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oolitic, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.