Active NPI
Natalie Mar, M.D.
- Dermatology Physician
- Ogden, UT
National Provider Identifier
1891705588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A71887
- Practice address
- 5405 S 500 E Ste 202
Ogden, UT 84405-7419 - Phone
- (801) 475-8600
- Fax
- (801) 475-8686
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A71887 | CA | Primary |
Addresses
Primary practice location
5405 S 500 E Ste 202
Ogden, UT 84405-7419
Mailing address
PO Box 100925
Atlanta, GA 30384-0925
Phone (801) 475-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001553 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A71887 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1891705588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100925",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840925",
"telephone_number": "801-475-8600",
"fax_number": "801-475-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 S 500 E STE 202",
"city": "OGDEN",
"state": "UT",
"postal_code": "844057419",
"telephone_number": "801-475-8600",
"fax_number": "801-475-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "NATALIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A71887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003001553",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.