Mark C Nielsen DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M607 Issued in SD

Legal business name

MARK C NIELSEN DDS PC

Practice address

465 S Pierre St
Pierre, SD 57501-4507

Phone

(605) 224-7774

Fax

(605) 224-9171

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Jane Ann Turner, CDA ADA

Title

Office Manager

Phone

(605) 224-7774

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mark Clinton Nielsen, DDS

  • Dentist
  • Pierre, SD
  • NPI 1013135581
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962606285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S PIERRE ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014507",
            "telephone_number": "605-224-7774",
            "fax_number": "605-224-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S PIERRE ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014507",
            "telephone_number": "605-224-7774",
            "fax_number": "605-224-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C NIELSEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-224-7774",
        "authorized_official_credential": "CDA ADA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timmi Rae Lunsford Hutchison, DO
• Shelby Kay Magorien, LCSW
• Maher Dental Clinic, Prof. LLC
• Jamie E Maher, D.D.S.
• Tanya Mammenga, LAC
• Elizabeth Marso, RDN
• Nicholas Marso, OD
• Eric Mazel, MD
• Darcy J McClelland, PA
• Ian J McClure

• General Practice Dentistry in Pierre, SD
• Providers in Pierre, SD by specialty
• General Practice Dentistry in South Dakota

• 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.