Mark Nissenbaum, DMD MDC FCDSA OMFS

ActiveIndividual ProviderSpecialty not listed
NPI issued: November 4, 2005

Quick Facts

NPI Number
1902897184
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy204E00000X — Specialty not listed
Phone
(617) 731-8888
StateMA

NPI Validation Status: Verified

Valid 10-digit NPI number (1902897184)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 4, 2005)
Data source: CMS NPPES

Provider Overview

MARK NISSENBAUM, DMD MDC FCDSA OMFS is a Healthcare provider based in Chestnut Hill, MA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1902897184
Provider TypeIndividual Provider
GenderMale
CredentialDMD MDC FCDSA OMFS
StatusActive
Enumeration DateNovember 4, 2005

Practice Location

CityChestnut Hill
StateMA
ZIP Code02467-2012
Phone(617) 731-8888

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code204E00000X
License StateMA

Mailing Address

CityChestnut Hill
StateMA
ZIP Code02467-2012
Phone(617) 731-8888
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1902897184 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1902897184for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1902897184 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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1,710
Specialty not listed Providers in the US

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People Also Ask

What is Mark Nissenbaum's NPI number?
Mark Nissenbaum's NPI number is 1902897184, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Nissenbaum's NPI currently active?
Yes, Mark Nissenbaum's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Nissenbaum specialize in?
Mark Nissenbaum specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 204E00000X.
Where does Mark Nissenbaum practice?
Mark Nissenbaum practices in Chestnut Hill, MA 02467-2012.
When was Mark Nissenbaum's NPI issued?
Mark Nissenbaum's NPI was issued on November 4, 2005.
What is Mark Nissenbaum's provider type?
Mark Nissenbaum is registered as an Individual Provider under CMS NPI Type 1.