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MARK PRAKASH
NPI 1043914898
Dentist in Chicago, IL

Active since March 27, 2023PECOS Enrolled
3860 W OGDEN AVE, CHICAGO, IL 60623(212) 305-6100 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Mark Prakash NPPES

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

MARK PRAKASH (NPI 1043914898) is an individual dentist in Chicago, Illinois, licensed in Illinois (019036491) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Dental Medicine (2024).

NPPES Registry Identity

NPI1043914898
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK PRAKASH
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (212) 305-6100
Phone(212) 305-6100
Sole ProprietorNo
Medical School CMSColumbia University College Of Dental MedicineGraduated 2024
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1043914898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019036491
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.

3860 W OGDEN AVE, Chicago, IL 60623
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Prakash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557867181
PECOS Enrollment IDI20251002002826
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

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 Prakash's NPI number?

The NPI number for Mark Prakash is 1043914898. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Mark Prakash located?

Mark Prakash practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (212) 305-6100.

What is Mark Prakash's specialty?

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

Is Mark Prakash enrolled in Medicare?

Yes. Mark Prakash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Prakash was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.