Mark Loisel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30917 Issued in CA

Practice address

510 Whispering Wind Dr Ste 102
Tracy, CA 95377-8119

Phone

(209) 830-7032

Fax

(209) 830-7051

NPI assigned

Jul 19, 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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mission Peak Dental Care

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1174701304
  NPD (past) Authorized official
• Tracy Hills Dental Care

  • Dental Clinic/Center
  • Tracy, CA
  • NPI 1528723806
  NPD
• Aparna Borole DDS, Inc.

  • Dental Clinic/Center
  • Fremont, CA
  • NPI 1124672027
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1861411886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WHISPERING WIND DR STE 102",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778119",
            "telephone_number": "209-830-7032",
            "fax_number": "209-830-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WHISPERING WIND DR STE 102",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778119",
            "telephone_number": "209-830-7032",
            "fax_number": "209-830-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39572 Stevenson Pl Ste 227",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945393113",
            "country_code": "US",
            "telephone_number": "510-790-0590",
            "fax_number": "510-790-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOISEL",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joenna Llavore
• Larry J Lo, MD
• Emily Locke
• Kimberly Locke
• Myair Logan
• Hannah Lomker
• Longs Drug Stores California LLC
• Hymavathi Lonka, PHARMACIST
• Yvonna Lopez Gomez
• Deyaneyra Lopez Ovando

• General Practice Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.