Mark W Recker DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK W RECKER DDS

Practice address

935 Main Street
Pella, IA 50219-1434

Phone

(641) 628-1604

Fax

(641) 628-2075

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Recker, DDSNPI 1003052861

Title

General Dentist

Phone

(641) 628-1604

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Mark W Recker, D.D.S.

  • Dentist
  • Pella, IA
  • NPI 1003052861
  NPD (past) Authorized official
• Eric R Recker, D.D.S.

  • Dentist
  • Pella, IA
  • NPI 1750527503
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982774766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MAIN STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191434",
            "telephone_number": "641-628-1604",
            "fax_number": "641-628-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAIN STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191434",
            "telephone_number": "641-628-1604",
            "fax_number": "641-628-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W RECKER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RECKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "641-628-1604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142158",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "14215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Wonders Wellness LLC
• Thomas E Loney, M.A.
• Jennifer Lynn Lowry, ARNP
• Lee Allan Luhrs, LISW
• Alondra Majin Cruz
• Richard Allen Martin, PHD,MBA
• Mario Daniel Martinez, MD
• Steven Boyd Mather, PHYSICAL THERAPIST
• Gerard A Matysik, DO
• Nicole M May

• General Practice Dentistry in Pella, IA
• Providers in Pella, IA by specialty
• General Practice Dentistry in Iowa

• 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.