Marko Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DS026278L Issued in PA

Legal business name

MARKO FAMILY DENTISTRY

Practice address

115 N 6TH St
Indiana, PA 15701-1815

Phone

(724) 463-9115

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Joseph E Marko Jr., DMDNPI 1528159399

Title

Owner

Phone

(724) 463-9115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph E Marko Jr., D.M.D.

  • General Practice Dentistry
  • Indiana, PA
  • NPI 1528159399
  NPD (past) Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1902140650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N 9TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011273",
            "telephone_number": "724-463-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 6TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011815",
            "telephone_number": "724-463-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-463-9115",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026278L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011692650006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Mallory, BS
• Doug Maniccia, LPN
• Kristi Lynn Manners, CRNP
• Jodie Michelle Margita, MPT, CLT
• Mark E. Boykiw, M.D.
• Joseph E Marko Jr., D.M.D.
• Janelle Kisiday Marshall, AU.D,
• Shawna M. Marshall, PA-C
• Holly M Marusa, M ED.
• Kathleen M Marusa, LCSW

• Dentist in Indiana, PA
• Providers in Indiana, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.