Individual provider Active NPI

Mark Donald Zeigler, D.M.D.

  • Dentist
  • Mooresville, NC
National Provider Identifier
1851595250
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11685 Issued in NC
Practice address
183 Riverchase LN
Mooresville, NC 28115-8336
Phone
(724) 923-0286
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037146 PA
Dentist 122300000X 30.022626 OH
Dentist 122300000X 11685 NC Primary

Addresses

Primary practice location

183 Riverchase LN
Mooresville, NC 28115-8336

Mailing address

183 Riverchase LN
Mooresville, NC 28115-8336
Phone (724) 923-0286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217002044 PA Order and Referring Only - DentistPractitioner - Dentist 6709101678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.022626OHMDDentist
11685NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen J. Cagno DMD, Inc. Past Accepting new patients
Joseph Family Dental, PC PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1851595250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 RIVERCHASE LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158336",
            "telephone_number": "724-923-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 RIVERCHASE LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158336",
            "telephone_number": "724-923-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIGLER",
        "first_name": "MARK",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037146",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022626",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.