DR. MARK BENJAMIN THIELE D.D.S.
NPI 1073994653
Dentist in Warroad, MN

Active since June 09, 2015PECOS Enrolled
301 STATE AVE SW, WARROAD, MN 56763(218) 386-1048(218) 386-1049 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Benjamin Thiele D.d.s. NPPES

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

DR. MARK BENJAMIN THIELE D.D.S. (NPI 1073994653) is an individual dentist in Warroad, Minnesota, licensed in Minnesota (D13533) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073994653
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK BENJAMIN THIELECredential: D.D.S.
Location Address301 STATE AVE SWWarroad, MN 56763-2623
Mailing AddressPo Box 490Warroad, MN 56763-0490 · (218) 386-1048 · Fax (218) 386-1049
Fax(218) 386-1049
Sole ProprietorNo
Enumeration DateJune 9, 2015
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1073994653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D13533
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.
301 STATE AVE SW, Warroad, MN 56763

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Benjamin Thiele D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 56763 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

Dentist
301 STATE AVE SW
WARROAD, MN 56763

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 Thiele's NPI number?

The NPI number for Mark Thiele is 1073994653. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Mark Thiele located?

Mark Thiele practices at 301 State Ave SW, Warroad, MN 56763. The listed phone number is (218) 386-1048.

What is Mark Thiele's specialty?

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

Is Mark Thiele enrolled in Medicare?

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

What insurance does Mark Thiele accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mark Thiele as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Thiele was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.