NPI Code Detail JSON Logo

1427115989 NPI number — BARRY M. MARK DDS, LAC, CAC

NPI Number: 1427115989
Health Care Provider/Practitioner: BARRY M. MARK DDS, LAC, CAC

Information about “1427115989” NPI (BARRY M. MARK DDS, LAC, CAC) exists in 1427115989 in HTML format HTML  |  1427115989 in plain Text format TXT  |  1427115989 in PDF (Portable Document Format) PDF  |  1427115989 in an XML format XML  formats.

NPI Number : 1427115989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427115989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARK",
    "FirstName": "BARRY",
    "MiddleName": "M.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS, LAC, CAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARK",
    "OtherFirstName": "BARRY",
    "OtherMiddleName": "M.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS, LAC, CAC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "187 PINE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGSTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12401-4527",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-334-9340",
    "MailingAddressFaxNumber": "845-334-9343",
    "FirstLinePracticeLocationAddress": "187 PINE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KINGSTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12401-4527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-334-9340",
    "PracticeLocationAddressFaxNumber": "845-334-9343",
    "EnumerationDate": "01/03/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "032220",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "000741",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.