Organization Active NPI

Mark D Essner DDS PC

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1962583468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8514 Issued in OR
Legal business name
MARK D ESSNER DDS PC
Practice address
1745 W 17TH Ave
Eugene, OR 97402-3618
Phone
(541) 485-6646
Fax
(541) 485-6123
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Essner
Title
President
Phone
(541) 684-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8514 OR Primary

Addresses

Primary practice location

1745 W 17TH Ave
Eugene, OR 97402-3618

Mailing address

1745 W 17TH Ave
Eugene, OR 97402-3618

National Provider Directory

National Provider Directory

Locations

1745 W 17th Ave
Eugene, OR 97402
Phone (541) 485-6645

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962583468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023618",
            "telephone_number": "541-485-6646",
            "fax_number": "541-485-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D ESSNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESSNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-684-7990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.