DR. MARK GAPONIUK D.M.D NPI 1003012212
Dentist in Vero Beach, FL

Individual Male Dentist PECOS Enrolled

About DR. MARK GAPONIUK D.M.D

Mark Gaponiuk is a provider established in Vero Beach, Florida and his medical specialization is Dentist. The NPI number of Mark Gaponiuk is 1003012212 and was assigned on June 2007. The practitioner's primary taxonomy code is 122300000X with license number DN22364 (FL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1003012212
Provider NameDR. MARK GAPONIUK D.M.D
Provider Location Address1545 9TH ST SW VERO BEACH, FL 32962
Provider Mailing Address1545 9TH ST SW VERO BEACH, FL 32962
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-25-2007
Last Update Date02-21-2017

A dentist like Dr. Mark Gaponiuk D.m.d 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.Mark Gaponiuk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..

Mark Gaponiuk is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.DN22364
License StateFL
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

DR. MARK GAPONIUK D.M.D
1545 9TH ST SW
VERO BEACH, FL
ZIP 32962
Phone: (772) 257-8224
Fax: (772) 213-3157

Get Directions


Mailing Address

DR. MARK GAPONIUK D.M.D
1545 9TH ST SW
VERO BEACH, FL
ZIP 32962
Phone: (772) 257-8224
Fax: (772) 213-3157


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1122300000XDental ProvidersDentistDS031205LPANo

Taxonomy Description: a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DN22364OTHER (01)FLSTATE LICENSE

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.
1003012212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 2 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003012212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407122252DR. EMMANUEL ACHEAMPONG D.M.D
Individual
Dentist (Pediatric Dentistry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1538179528DR. NEIL LAWRENCE KRONICK DDS
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1902959414DR. RICHARD THOMAS CARLIN D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1245384619 GERALD GEORGE GOEBEL D.M.D.
Individual
Dentist (Prosthodontics)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1851437354DR. JOHN M. KESTRANEK DDS
Individual
Dentist1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1508047143MS. LISA NELSON WHEELER ARNP
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053386284DR. HEMANT P GUNDAVDA M.D.
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1356413728 JULIETTE ADELINA VALERIANO MD
Individual
Family Medicine1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1841237260DR. YADIRA PADIN-ROJAS MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1891193298 RUTH KIM MD, MPH
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053361113 WILLIAM DAVID CALDWELL MD
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1215588694 THERESE DOOLIN MCKINLEY APRN
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1194992669 AMY FODOR LCSW
Individual
Counselor (Mental Health)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1518301084 JENNIFER LAUREN MILLER M.D.
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1164873428 MELANIE BUCHANAN D.M.D.
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1194030965MS. TARA CIABATTARI LCSW
Individual
Counselor (Mental Health)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1194104646DR. MATTHEW MARK MCANDREW D.M.D.
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1538414073DR. CHRISTINE A MARIJANOVIC D.D.S.
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1679949945 NATALIE AVILA SANON APRN
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053619858DR. MARLENE ANN MARIE AKING M.D.
Individual
Psychiatry & Neurology (Psychiatry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Mark Gaponiuk D.m.d is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.