Mark Andrew Pfeiffer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4753 Issued in KY

Practice address

20 N Grand Ave
Suite #10
Fort Thomas, KY 41075-4106

Phone

(859) 441-1900

NPI assigned

Jul 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Ross Oates DMD PLLC

  • Dental Clinic/Center
  • Fort Thomas, KY
  • NPI 1629810379
  NPD (past)
• Ross Oates DMD PLLC

  • General Practice Dentistry
  • Fort Thomas, KY
  • NPI 1821831769
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861406076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE",
            "address_2": "SUITE #10",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-441-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE",
            "address_2": "SUITE #10",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-441-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric ABA and Autism Supports of Northern Kentucky LLC
• Jordan B Perlman, MD
• James Michael Petit, M.D.
• Robert Joseph Pettit
• Kevin Michael Pfeiffer, D.M.D.
• Alisha Wynne Philippe
• Lanee Edwards Philippe
• Savannah Lea Phillipps
• Kevin T Platt, MD
• Perry Stephen Poteet, M.D.

• General Practice Dentistry in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.