Mark M Kubic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17804 Issued in OH

Practice address

6100 Memorial Dr
Suite 500
Dublin, OH 43017-8244

Phone

(614) 761-0822

Fax

(614) 467-9390

NPI assigned

Oct 27, 2006

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1861578262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 MEMORIAL DR",
            "address_2": "SUITE 500",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178244",
            "telephone_number": "614-761-0822",
            "fax_number": "614-467-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MEMORIAL DR",
            "address_2": "SUITE 500",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178244",
            "telephone_number": "614-761-0822",
            "fax_number": "614-467-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIC",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17804",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.017804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula J Krivchenia, LISW
• Andrew F Krizman
• Michele R Krohn-Harper, DC
• Therese M Krueger, SLP
• Loraine Elizabeth Kruessel, MA CCC-SLP
• Nicholas Kudlapur
• Rebecca Ann Kuennen, M.D.
• Queenster Kuffour
• Brandon Kuhlman
• Alyssa Kuhn, DPT

• General Practice Dentistry in Dublin, OH
• Providers in Dublin, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.