MARK SIDRANSKY DDS
NPI 1760006670
Dentist - General Practice in Jbsa Lackland, TX
NPI Status: Active since June 05, 2020
Contact Information
59 DG AF POSTGRADUATE DENTAL SCHOOL
2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 292-6258
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Dentist
- General Practice
About MARK SIDRANSKY
This page provides the complete NPI Profile along with additional information for Mark Sidransky, a provider established in Jbsa Lackland, Texas with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1760006670 assigned on June 2020. The practitioner's primary taxonomy code is 1223G0001X with license number DEN.00204390 (CO). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1760006670
- Provider Name
- MARK SIDRANSKY DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 PEPPERRELL STREET, BUILDING 3352 JBSA LACKLAND, TX 78236
- Location Phone
- (210) 292-6258
- Mailing Address
- 1711 DOOLITTLE AVE UNIT FORT FORT WORTH, TX 76127
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-05-2020
- Last Update Date
- 07-23-2025
- Code Navigator
A dentist like Mark Sidransky is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DEN.00204390
- License State
- CO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | DEN.00204390 (CO) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 0 | 0 | 6 | 6 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 0 | 0 | 12 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 0 + 0 + 1 + 2 + 6 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1760006670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235391772 | DR. ABBY JOANNA SHANNON DDS Individual | Dentist | 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 PEPPERRELL ST, BLDG 3352 JBSA-LACKLAND, TX 78236 (210) 292-6258 |
| 1710235031 | DR. STEVEN EDWARD HANDEL JR. DMD Individual | Dentist (Prosthodontics) | 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 PEPPERRELL STREET, BUILDING 3352 JBSA-LACKLAND, TX 78236 (210) 292-6258 |
| 1205100914 | DR. THOMAS J O'CONNOR DMD Individual | Dentist | 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 PEPPERRELL STREET, BUILDING 3352 JBSA LACKLAND, TX 78236 (210) 292-6258 |
| 1902645252 | DR. MATTHEW WILLIAM HERSHBERGER DMD Individual | Dentist | 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 KLINKER STREET, BUILDING 3352 JBSA-LACKLAND, TX 78236 (210) 292-6258 |
| 1972137644 | AUDREY NICOLE IMPERIAL Individual | Dentist (General Practice) | 59 DG AF POSTGRADUATE DENTAL SCHOOL 2133 PEPPERRELL ST BLDG 3352 JBSA - LACKLAND, TX 78236 (210) 292-6258 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760006670, enumerated in the NPI registry as an "individual" on June 05, 2020
The provider is located at 59 Dg Af Postgraduate Dental School 2133 Pepperrell Street, Building 3352 Jbsa Lackland, Tx 78236 and the phone number is (210) 292-6258
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
This NPI record was last updated on June 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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