DR. MARK JAMES WARNER D.D.S.
NPI 1003188202
Dentist in Fairfield, CA

Q: What is Mark Warner's NPI number?

The NPI number for Mark Warner is 1003188202. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Q: What is Mark Warner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Mark Warner enrolled in Medicare?

No. Mark Warner has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mark Warner was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2012Opted out of Medicare · through Aug 16, 2027

1291 OLIVER RD, FAIRFIELD, CA 94534(707) 422-7633(707) 422-2630 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark James Warner D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK JAMES WARNER D.D.S. (NPI 1003188202) is an individual dentist in Fairfield, California, licensed in California (416913) and active in the NPI registry since February 2012. He has opted out of Medicare through August 16, 2027.

NPPES Registry Identity

NPI1003188202

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARK JAMES WARNERCredential: D.D.S.

Location Address1291 OLIVER RDFairfield, CA 94534-3468

Mailing Address1291 Oliver RdFairfield, CA 94534-3468 · (707) 422-7633 · Fax (707) 422-2630

Phone(707) 422-7633

Fax(707) 422-2630

Sole ProprietorYes

Enumeration DateFebruary 2, 2012

✔ NPI 1003188202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 416913

Definition

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.

1291 OLIVER RD, Fairfield, CA 94534

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark James Warner D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2023 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2023

Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK J WARNER, DDS, INC

Dentist

1291 OLIVER RD
FAIRFIELD, CA 94534

Solano County (707) 422-7633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Warner's NPI number?

The NPI number for Mark Warner is 1003188202. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Where is Mark Warner located?

Mark Warner practices at 1291 Oliver Rd, Fairfield, CA 94534. The listed phone number is (707) 422-7633.

What is Mark Warner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Warner enrolled in Medicare?

No. Mark Warner has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Warner was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.