Mark B Diamond, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS020511L Issued in PA

Practice address

1621 N Cedar Crest Blvd
Suite 117 Lehigh Valley Suburban Dental Assoc LTD
Allentown, PA 18104

Phone

(610) 820-9900

Fax

(610) 820-9922

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lehigh Valley Suburban Dental Assoc LTD

  • Dentist
  • Allentown, PA
  • NPI 1437269008
  NPD (past) Authorized official
• American Dental Group P.C.

  • Dentist
  • Allentown, PA
  • NPI 1538445887
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1932380656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N CEDAR CREST BLVD",
            "address_2": "SUITE 117 LEHIGH VALLEY SUBURBAN DENTAL ASSOC LTD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-820-9900",
            "fax_number": "610-820-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N CEDAR CREST BLVD",
            "address_2": "SUITE 117 LEHIGH VALLEY SUBURBAN DENTAL ASSOC LTD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-820-9900",
            "fax_number": "610-820-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020511L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Di Bonaventura, MS, CGC
• Alfonso Di Carlo, DC
• Diakon Lutheran Social Ministries
• Shannon N. Diallo, PA-C
• Diamond Healthcare at West Allen LLC
• Vincent James Diana, D.C.
• Nadyne Dias, MS, CCC-SLP/L
• Gillian Diascro, DPT
• Roshanara Mari Diaz Mejia
• Georgina Diaz, BS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.