1. Home
  2. Directory
  3. Texas
  4. Arlington
  5. Dentist
  6. NPI Profile

DR. MARK JOHN MALLERY DDS
NPI 1235362468
Dentist in Arlington, TX

Active since September 04, 2009Opted out of Medicare · through Jul 6, 2027
1201 W ABRAM ST, ARLINGTON, TX 76013(817) 461-5455(817) 460-2409 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mark John Mallery Dds NPPES

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

DR. MARK JOHN MALLERY DDS (NPI 1235362468) is an individual dentist in Arlington, Texas, licensed in Texas (24583) and active in the NPI registry since September 2009. He has opted out of Medicare through July 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235362468
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK JOHN MALLERYCredential: DDS
Location Address1201 W ABRAM STArlington, TX 76013
Mailing Address1201 W Abram StArlington, TX 76013 · (817) 461-5455 · Fax (817) 460-2409
Phone(817) 461-5455
Fax(817) 460-2409
Sole ProprietorYes
Enumeration DateSeptember 4, 2009
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1235362468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 24583
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.
1201 W ABRAM ST, Arlington, TX 76013
Open in Google Maps ↗

Accepted Insurance

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

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 John Mallery Dds 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 July 6, 2015 through July 6, 2027.

Opt-Out Effective DateJuly 6, 2015
Opt-Out In Effect ThroughJuly 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76013 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 Mark Mallery's NPI number?

The NPI number for Mark Mallery is 1235362468. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Mark Mallery located?

Mark Mallery practices at 1201 W Abram St, Arlington, TX 76013. The listed phone number is (817) 461-5455.

What is Mark Mallery's specialty?

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

Is Mark Mallery enrolled in Medicare?

No. Mark Mallery has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Mallery accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Mark Mallery 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 Mallery was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.