ELLEN MARK DDS
NPI 1104073121
Dentist - Pediatric Dentistry in Sacramento, CA

Q: What is Ellen Mark's NPI number?

The NPI number for Ellen Mark is 1104073121. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Q: What is Ellen Mark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Mark was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 20, 2008PECOS Enrolled

6399 GARFIELD AVE, SUITE 150, SACRAMENTO, CA 95841(916) 344-1000 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen Mark Dds NPPES

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

ELLEN MARK DDS (NPI 1104073121) is an individual pediatric dentistry provider in Sacramento, California, licensed in California (57132) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104073121

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameELLEN MARKCredential: DDS

Location Address6399 GARFIELD AVE, SUITE 150Sacramento, CA 95841

Mailing AddressPo Box 72866Davis, CA 95617-2866 · (530) 756-5060

Phone(916) 344-1000

Sole ProprietorNo

Enumeration DateAugust 20, 2008

✔ NPI 1104073121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 57132

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6399 GARFIELD AVE, Sacramento, CA 95841

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Ellen Mark Dds 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 95841 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $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.

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 Ellen Mark's NPI number?

The NPI number for Ellen Mark is 1104073121. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Ellen Mark located?

Ellen Mark practices at 6399 Garfield Ave Suite 150, Sacramento, CA 95841. The listed phone number is (916) 344-1000.

What is Ellen Mark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Ellen Mark enrolled in Medicare?

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

What insurance does Ellen Mark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Ellen Mark 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 Ellen Mark was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.