What is Mark Ivanicki's NPI number?

Mark Ivanicki's National Provider Identifier (NPI) is 1417921974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Ivanicki's specialty?

Mark Ivanicki is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Mark Ivanicki located?

Mark Ivanicki's practice location on file with NPPES is 1200 N Tustin Ave, Santa Ana, CA 92705-3508.

What is Mark Ivanicki's phone number?

The practice phone number listed in the NPPES registry for Mark Ivanicki is (714) 835-2215.

Is Mark Ivanicki's NPI active?

Yes — Mark Ivanicki's NPI (1417921974) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Ivanicki, DDS

NPI 1417921974 · Dentist · Santa Ana, CA

Mark Ivanicki, DDS is a Dentist provider in Santa Ana, CA (NPI 1417921974).

Provider details

NPI number: 1417921974
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 33594 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 33594 (CA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1200 N Tustin Ave

Suite 102

Santa Ana, CA 92705-3508

Phone: (714) 835-2215

Fax: (714) 835-4622

Street-level locationGet directions

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Mailing address