MARK A.HERZOG (NPI# 1487992004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487992004 |
| Entity Type | Organization |
| Organization Name | MARK A.HERZOG |
| Practice Address |
804 E 8th St Ellsworth KS 67439-2535 |
| Practice Telephone | 7854725420 |
| Practice Fax Number | 7854728995 |
| Mailing Telephone | 7854725420 |
| Mailing Fax Number | 7854728995 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | DR. MARK ALAN HERZOG (PRESIDENT) |
| Authorized Official Telephone | 7854725420 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6269 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100223300B | 05 |
| Street Address |
804 E 8TH ST |
| City | ELLSWORTH |
| State | KS |
| Zip Code | 67439-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639555634 | Karen Kobs | Pharmacist | 1105 E 15th, Ellsworth, KS 67439 | 2015-08-03 |
| 1629281431 | Cheryl Ann Rathbun | Social Worker | 1295 Hwy 14, Ellsworth, KS 67439 | 2007-05-08 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1568753820 | Katie M Mcwilliams | General Practice | 1602 N Aylward Ave, Ellsworth, KS 67439 | 2011-04-21 |
| 1609918523 | Kyle Gwinner Od LLC | Optometrist | 801 E 3rd St, Ellsworth, KS 67439-0339 | 2007-02-14 |
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1386192227 | Lindsey Warta | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1841436052 | Teasha Lee Choitz | Occupational Therapy Assistant | 1113 State St, Ellsworth, KS 67439-2144 | 2008-12-18 |
| 1609290089 | Sheri Jonsson | Dietitian, Registered | 1604 Aylward Ave, Ellsworth, KS 67439-2541 | 2014-02-06 |
| Find all providers in zip 67439 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372906 | Kevin Wright | Dentist | 99 Oak St, Ellsworth, ME 04605-1622 | 2019-05-27 |
| 1225293368 | Timothy Oh | Dentist | 72 Beechland Rd, Ellsworth, ME 04605-2533 | 2008-07-28 |
| 1639336902 | Aaron James Palmer Sr. | Dentist | 382 State St, Ellsworth, ME 04605-3330 | 2008-05-22 |
| 1518046804 | Peter F Meyer Dds Pa | Dentist | 382 State Street, Ellsworth, ME 04605 | 2006-11-06 |
| 1700989357 | William C Caddoo | Dentist | 175 Water Street, Ellsworth, ME 04605 | 2006-09-07 |
| 1598326696 | Spencer Alan Ross | Dentist | 72 Beechland Rd, Ellsworth, ME 04605-2533 | 2019-06-28 |
| 1841503505 | Layne R Whiteley | Dentist | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2010-07-22 |
| 1780905539 | Caring Hands of Maine | Dentist | 72 Beechland Rd, Ellsworth, ME 04605-2533 | 2010-06-16 |
| 1679784482 | Ellsworth Bucksport Dental Associates | Dentist | 325 Main St, Ellsworth, ME 04605-1511 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982759 | Brendan Daugherty | Dentist | 10040 Woodland Dr, Lenexa, KS 66220-3802 | 2020-08-12 |
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1164032090 | Brett Taylor Lyman | Dentist | 2215 Broadway Ave, Great Bend, KS 67530-3917 | 2020-08-05 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1457960452 | Nuvia Jeanette Lemus-diaz | Dentist | 2001 Central Ave, Dodge City, KS 67801-6410 | 2020-07-24 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1487262283 | Austin Rickabaugh | Dentist | 8911 State Ave, Kansas City, KS 66112-1645 | 2020-07-17 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1225652332 | Jasmyn Christine Thole | Dentist | 401 S Clairborne Rd Ste A, Olathe, KS 66062-1735 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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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.