npidexNPI registry + Medicare data

MARK JOSEPHS, DMD

Dentist · PRAIRIEVILLE, LA

Individual Active Opted out of Medicare NPI 1235391103

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X✓6296LA
Oral and Maxillofacial Surgery (Dentist)1223S0112X2901019754MI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2014-10-01 through 2026-10-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.