Individual provider Active NPI

Mark D Currell, DDS,MS

  • Endodontics
  • Liverpool, NY
National Provider Identifier
1972646875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
042714 Issued in NY
Practice address
4820 W Taft Rd
Suite 214
Liverpool, NY 13088-2800
Phone
(315) 413-1100
Fax
(315) 413-0710
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 042714 NY Primary

Addresses

Primary practice location

4820 W Taft Rd
Suite 214
Liverpool, NY 13088-2800

Mailing address

4820 W Taft Rd
Suite 214
Liverpool, NY 13088-2800
Phone (315) 413-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 24, 2015 through Dec 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
042714NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Specialists, PC Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972646875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "SUITE 214",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-413-1100",
            "fax_number": "315-413-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "SUITE 214",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-413-1100",
            "fax_number": "315-413-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRELL",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "042714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.