Active NPI
Jeffrey Bruce Marks, DDS
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1982710224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00009477
- Practice address
- 10241 Greenwood Ave N
Seattle, WA 98133-9141 - Phone
- (206) 789-4035
- Fax
- (206) 789-3541
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00009477 | WA | Primary |
Addresses
Primary practice location
10241 Greenwood Ave N
Seattle, WA 98133-9141
Mailing address
10241 Greenwood Ave N
Seattle, WA 98133-9141
Phone (206) 789-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009477 | WA | MD | Pediatric Dentist |
Interoperability endpoints
- jmarks36140@direct.seattlechildrens.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1982710224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10241 GREENWOOD AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339141",
"telephone_number": "206-789-4035",
"fax_number": "206-789-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10241 GREENWOOD AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339141",
"telephone_number": "206-789-4035",
"fax_number": "206-789-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JEFFREY",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00009477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.