Brandon Mark, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.026542 Issued in OH

Practice address

3515 Hudson Dr Ste 100
Stow, OH 44224-6968

Phone

(330) 928-7674

NPI assigned

Jun 15, 2021

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

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Maurer and Dental Associates of Stow Company

  • General Practice Dentistry
  • Stow, OH
  • NPI 1336902303

  Multi-Specialty

  NPD
• James P Maurer DDS, Inc

  • General Practice Dentistry
  • Stow, OH
  • NPI 1508192683
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1891363966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PARK EAST DR APT 408",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224355",
            "telephone_number": "216-910-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HUDSON DR STE 100",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246968",
            "telephone_number": "330-928-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Manch, MS, RDN, LDN
• Manveen Kaur Mann, MD
• Melissa Ann Mapes, LPCC
• Marc Glassman Inc
• Melissa Ann Marino, SLP
• Kortni Markgraf
• Michele Marshall, M.D.
• Martha K Pitts Lisw LLC
• Danielle Schultz Martin, M.ED, CRC
• James E Martin, DO

• Dentist in Stow, OH
• Providers in Stow, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.