DR. MARK GAPONIUK D.M.D NPI 1003012212
Dentist in Vero Beach, FL
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 this provider 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 Name | DR. MARK GAPONIUK D.M.D |
| Location Address | 1545 9TH ST SW VERO BEACH, FL 32962 |
| Location Phone | (772) 257-8224 |
| Mailing Address | 1545 9TH ST SW VERO BEACH, FL 32962 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-25-2007 |
| Last Update Date | 02-21-2017 |
A dentist like Mark Gaponiuk 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)..
Primary Taxonomy
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.
| Taxonomy Code | 122300000X |
| Classification | Dentist |
| Type | Dental Providers |
| License No. | DN22364 |
| License State | FL |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1545 9TH ST SW
VERO BEACH, FL
ZIP 32962
Phone: (772) 257-8224
Fax: (772) 213-3157
Mailing Address
1545 9TH ST SW
VERO BEACH, FL
ZIP 32962
Phone: (772) 257-8224
Fax: (772) 213-3157
Location Map
PECOS Enrollment and Medicare Participation Status
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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | DS031205L | PA | No | |
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 |
|---|---|---|---|
| DN22364 | OTHER (01) | FL | STATE 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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 2 | 2 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 2 | 2 | |
| 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 = 2 | 2 | ||||||||
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 |
|---|---|---|---|
| 1407122252 | DR. EMMANUEL ACHEAMPONG D.M.D Individual | Dentist (Pediatric Dentistry) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1538179528 | DR. NEIL LAWRENCE KRONICK DDS Individual | Dentist (General Practice) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1902959414 | DR. 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 |
| 1851437354 | DR. JOHN M. KESTRANEK DDS Individual | Dentist | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1508047143 | MS. LISA NELSON WHEELER ARNP Individual | Nurse Practitioner (Family) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1053386284 | DR. HEMANT P GUNDAVDA M.D. Individual | Pediatrics | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1356413728 | JULIETTE ADELINA VALERIANO MD Individual | Family Medicine | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1841237260 | DR. 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 | Pediatrics | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1053361113 | WILLIAM DAVID CALDWELL MD Individual | Pediatrics | 1545 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 | Pediatrics | 1545 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 |
| 1194030965 | MS. TARA CIABATTARI LCSW Individual | Counselor (Mental Health) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1194104646 | DR. MATTHEW MARK MCANDREW D.M.D. Individual | Dentist (General Practice) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
| 1538414073 | DR. 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 |
| 1053619858 | DR. MARLENE ANN MARIE AKING M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1545 9TH ST SW VERO BEACH, FL 32962 (772) 257-8224 |
Frequently Asked Questions
What is Dr. Mark Gaponiuk D.M.D NPI number?
The NPI number assigned to this healthcare provider is 1003012212, registered as an "individual" on June 25, 2007
Where is Dr. Mark Gaponiuk D.M.D located?
The provider is located at 1545 9th St Sw Vero Beach, Fl 32962 and the phone number is (772) 257-8224
Which is Dr. Mark Gaponiuk D.M.D specialty?
The provider's speciality is Dentist
What insurance does Dr. Mark Gaponiuk D.M.D accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Mark Gaponiuk D.M.D registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Dr. Mark Gaponiuk D.M.D?
Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $76.4 and an average copayment of 19.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Mark Gaponiuk D.M.D was last updated on June 25, 2007. 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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