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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH MARK BUILDER DMD
NPI 1124009816
Dentist in Newport, OR

Active since November 09, 2005PECOS Enrolled
123 SE DOUGLAS ST, NEWPORT, OR 97365(541) 265-4221(541) 574-6552 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Mark Builder Dmd NPPES

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

DR. KENNETH MARK BUILDER DMD (NPI 1124009816) is an individual dentist in Newport, Oregon, licensed in Oregon (D7773) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124009816
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH MARK BUILDERCredential: DMD
Location Address123 SE DOUGLAS STNewport, OR 97365-4426
Mailing AddressPo Box 1045Newport, OR 97365-0080 · (541) 265-4221 · Fax (541) 574-6552
Phone(541) 265-4221
Fax(541) 574-6552
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124009816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D7773
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.
123 SE DOUGLAS ST, Newport, OR 97365
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Other Names 1

Professional Name (2)Dr. Mark Builder Md

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. Kenneth Mark Builder Dmd 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 97365 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 6

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

DANA MATLOCK D.D.S
Dentist
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 264-2800
DANA MATLOCK, DDS, LLC
Clinic/Center (Dental)
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 264-2800
FAMILY DENTAL GROUP OF NEWPORT PC
Dentist
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 265-4221
DR. HEIDI RENEE ROMNEY DMD
Dentist
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 265-4221
DR. DOUGLAS ALAN CHADWICK DDS
Dentist (General Practice)
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 265-4221
DOUGLAS A CHADWICK DDS PC
Clinic/Center (Dental)
123 SE DOUGLAS ST
NEWPORT, OR 97365
Lincoln County (541) 265-4221

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 Kenneth Builder's NPI number?

The NPI number for Kenneth Builder is 1124009816. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Dr. Mark Builder MD.

Where is Kenneth Builder located?

Kenneth Builder practices at 123 SE Douglas St, Newport, OR 97365. The listed phone number is (541) 265-4221.

What is Kenneth Builder's specialty?

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

Is Kenneth Builder enrolled in Medicare?

Yes. Kenneth Builder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Builder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.