Mark9Health PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARK9HEALTH PLLC

Practice address

165 E. State Highway 121, Suite 110
Coppell, TX 75019-7908

Phone

(972) 325-2005

Fax

(972) 325-4175

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Angela N Moemeka, MD

Title

Physician Owner

Phone

(972) 325-2005

Specialties & licenses 1

Addresses

Other names 1

• Mark9 Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1952966475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E. STATE HIGHWAY 121, SUITE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197908",
            "telephone_number": "972-325-2005",
            "fax_number": "972-325-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E. STATE HIGHWAY 121, SUITE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197908",
            "telephone_number": "972-325-2005",
            "fax_number": "972-325-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK9HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MOEMEKA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "972-325-2005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark9 Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark9 Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Martin Nunes DMD PLLC
• Benjamin John Martin, DMD, MS
• Maizie Aileen Martin, BCBA
• Peyton Martin, DO
• Sara Martin, NP-C

• Pediatrics Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.