Mark C Lambert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3415 Issued in ID

Practice address

1415 Fillmore St
Suite 701
Twin Falls, ID 83301-3346

Phone

(208) 735-1415

Fax

(208) 734-7603

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin L Hamblin DDS

  • Dentist
  • Twin Falls, ID
  • NPI 1760599963
  NPD (past)
• Mint Dental Care PLLC

  dba Mint Dental Care

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1245064427
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902918402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 HEATHERWOOD RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018100",
            "telephone_number": "208-733-3101",
            "fax_number": "208-734-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FILLMORE ST",
            "address_2": "SUITE 701",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013346",
            "telephone_number": "208-735-1415",
            "fax_number": "208-734-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Dean Labrum, ISAS
• Austin Mark Laing
• Iain Harlan Laird, MS, NCC, LCPC
• Jarom F Lamb, M.D.
• Marc R Lambert, DPT
• Beverly Ann Lammers
• Mark Lamprich, LCSW
• Hans Tyler Larsen, P.A.
• Jacob Larsen, PA
• Melissa Larsen

• General Practice Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.