DR. JEFFREY MARK (NPI# 1689126724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689126724 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARK |
| Credential | D.D.S. |
| Practice Address |
4801 S Cliff Ave Ste 208 Independence MO 64055-6954 |
| Mailing Address |
2225 Ne Overland Dr Blue Springs MO 64029-8604 |
| Practice Telephone | 8164613660 |
| Practice Fax Number | 8164614151 |
| Mailing Telephone | 8168759154 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6845 | NV | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
61488 | KS | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2016019198 | MO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10601 Kaw Dr, Edwardsville, KS 661111130 | 9134413373 | |
| 2225 Ne Overland Dr, Blue Springs, MO 640298604 | 8168759154 | |
| 4801 S Cliff Ave Ste 208, Independence, MO 640556954 | 8164613660 | 8164614151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487946240 | Jeffrey Mark | Counselor | 100 Rosaschi Rd, Yerington, NV 89447-8722 | 2011-05-11 |
| 1609966324 | Jeffrey Alan Mark | Dentist | 20950 N Tatum Blvd, Suite 370, Phoenix, AZ 85050-4200 | 2006-10-13 |
| 1487603155 | Jeffrey C Mark | Internal Medicine | 2101 Geer Rd, Suite #118, Turlock, CA 95382-2454 | 2006-05-09 |
| Street Address |
4801 S CLIFF AVE STE 208 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1568946523 | Thomas M Bilski Dds and Associates Inc | Dentist | 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 | 2018-09-17 |
| 1790276442 | Julia Suzanne Jenkins | Dentist | 2052 Harris Pike # 54, Independence, KY 41051-7783 | 2018-05-29 |
| 1760920805 | Mortenson Family Dental Center - Independence, LLC | Dentist | 2052 Harris Pike, Independence, KY 41051-7783 | 2017-02-09 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1154737658 | Devishkumar H Patel | Dentist | 2320 W Main St, Independence, KS 67301-8435 | 2014-07-03 |
| 1609182286 | Jeffrey David Peter | Dentist | 2025 Declaration Dr Ste B, Independence, KY 41051-7983 | 2010-08-20 |
| 1831427731 | Michael James Beauregard | Dentist | 11105 E Winner Rd, Independence, MO 64052-3837 | 2009-12-03 |
| 1679733265 | Porter James Clark | Dentist | 422 E Main St, Independence, KS 67301-3716 | 2008-06-17 |
| 1447458773 | Danny Nakhla | Dentist | 5302 Madison Pike, Independence, KY 41051-8652 | 2007-07-09 |
| 1609071067 | Carl James Stefaniak | Dentist | 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 | 2007-06-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.