Individual provider Active NPI

Donald Marks, DDS

  • Dentist
  • Ny, NY
National Provider Identifier
1952792830
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035685 Issued in NY
Practice address
450 Park Avenue South
Suite 200
Ny, NY 10016
Phone
(212) 725-6001
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 035685 NY Primary

Addresses

Primary practice location

450 Park Avenue South
Suite 200
Ny, NY 10016

Mailing address

450 Park Avenue South
Suite 200
New York City, NY 10016
Phone (212) 725-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150812006324 NY Order and Referring Only - DentistPractitioner - Dentist 5597070136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035685NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald S. Marks DDS, P.C. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1952792830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PARK AVENUE SOUTH",
            "address_2": "SUITE 200",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-6001",
            "fax_number": "212-725-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARK AVENUE SOUTH",
            "address_2": "SUITE 200",
            "city": "NY",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.