DR. MARK LAWRENCE BOONE (NPI# 1285700112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285700112 |
| Entity Type | Individual |
| Full Name | DR. MARK LAWRENCE BOONE |
| Credential | DDS |
| Practice Address |
360 Pierce Ave Suite 200 North Mankato MN 56003-2207 |
| Practice Telephone | 5073451513 |
| Practice Fax Number | 5073458419 |
| Mailing Telephone | 5073451513 |
| Mailing Fax Number | 5073458419 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8452 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741779 | Mark Boone | Dentist | Usndc Far East, Psc 475 Box 1857, Fpo, AP 96350 | 2005-12-19 |
| 1982929790 | Mark S Boone | Acupuncturist | 2 International Plz, Nashville, TN 37217-2017 | 2010-04-05 |
| Street Address |
360 PIERCE AVE SUITE 200 |
| City | NORTH MANKATO |
| State | MN |
| Zip Code | 56003-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457687477 | Bridget Danielle Pollack-naber | Counselor | 360 Pierce Ave, Suite 209 Sioux Trails Mental Health Center, North Mankato, MN 56003 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391796 | Chelsea Lynn Homan | Registered Nurse | 1961 Premier Dr #340, Mankato, MN 56003 | 2017-08-09 |
| 1700115649 | Oscar Donald Anderson | Ophthalmology | 2000 Roe Crest Dr, No Mankato, MN 56003 | 2009-12-23 |
| 1942434121 | Leah Rose Breit | Family Medicine | 1575 Lookout Drive, North Mankato, MN 56003 | 2009-05-04 |
| 1144792664 | Alexis Lise Cote-sands | Social Worker | 342 Belgrade Ave, North Mankato, MN 56003 | 2018-12-21 |
| 1164949863 | Ashlee Harriman | Physical Therapist | 1681 Commerce Dr, North Mankato, MN 56003 | 2017-08-24 |
| 1235685439 | Sagan Dobie | Physician Assistant | 1575 Lookout Dr, North Mankato, MN 56003 | 2016-08-28 |
| 1194884478 | Angela M Schuck | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-12-06 |
| 1881769198 | North Mankato Family Dentistry Pa | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| 1740355064 | Keith P Flack | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| 1356320675 | Daniel P Anderson | Family Medicine | 1575 Lookout Dr, Mankato Clinic At North Mankato, North Mankato, MN 56003 | 2006-01-13 |
| Find all providers in zip 56003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811180 | Gregory Paul Miller | Dentist | 1140 South Ave, North Mankato, MN 56003-3533 | 2007-02-27 |
| 1801973235 | Gary Richard Eichmeyer | Dentist | 1720 Lor Ray Dr, North Mankato, MN 56003-1942 | 2006-11-01 |
| 1184701526 | David Wayne Clause | Dentist | 1720 Lor Ray Dr, North Mankato, MN 56003-1942 | 2006-11-01 |
| 1447337803 | Commerce Drive Dental Group | Dentist | 1720 Lor Ray Dr, North Mankato, MN 56003-1942 | 2006-11-01 |
| 1982781399 | Jessica Jane Kuryla | Dentist | 1720 Lor Ray Dr, North Mankato, MN 56003-1942 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANKATO |
| Zip Code | 56003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.