Mark D. Berard, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019128 Issued in MI

Legal business name

MARK D. BERARD, DDS, PC

Practice address

203 West 30TH Street
Holland, MI 49423

Phone

(616) 392-2853

Fax

(616) 392-2568

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Daniel Berard, D.D.S.NPI 1942367305

Title

Dentist/Owner

Phone

(616) 392-2853

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Mark Daniel Berard, DDS

  • General Practice Dentistry
  • Holland, MI
  • NPI 1942367305
  NPD Authorized official
• David Wayne Gnegy, DMD

  • Dentist
  • Holland, MI
  • NPI 1093882177
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1942378419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WEST 30TH STREET",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-392-2853",
            "fax_number": "616-392-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WEST 30TH STREET",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-392-2853",
            "fax_number": "616-392-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. BERARD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "616-392-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "02097814533",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "D145330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1884295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "D801446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "625904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Marcolina, DO
• Uday Sekhar Reddy Mareddy
• Tabitha Margritz, O.D.
• Maria C. Hoekstra DDS, P.C.
• Holly Marino
• Jessica Markosky
• Roberto Carlos Marroquin Lozada
• Jeffrey Michael Marschall, CPRC, CADC-DP
• Erika Martin
• Jean E Martin, NP

• General Practice Dentistry in Holland, MI
• Providers in Holland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.