DR. MARK A. HERZOG D.D.S, P.A.
NPI 1275595290
Dentist - General Practice in Ellsworth, KS

Q: What is Mark Herzog's NPI number?

The NPI number for Mark Herzog is 1275595290. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Mark Herzog's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Herzog was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 05, 2006

804 E 8TH ST, ELLSWORTH, KS 67439(785) 472-5420(785) 472-8995 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Mark A. Herzog D.d.s, P.a. NPPES

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

DR. MARK A. HERZOG D.D.S, P.A. (NPI 1275595290) is an individual general practice provider in Ellsworth, Kansas, licensed in Kansas (6296) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1275595290

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK A. HERZOGCredential: D.D.S, P.A.

Location Address804 E 8TH STEllsworth, KS 67439-2535

Mailing Address804 E 8th StEllsworth, KS 67439-2535 · (785) 472-5420 · Fax (785) 472-8995

Phone(785) 472-5420

Fax(785) 472-8995

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateJanuary 14, 2013

✔ NPI 1275595290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KS · 6296

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

804 E 8TH ST, Ellsworth, KS 67439

Open in Google Maps ↗

Other Identifiers 1

Medicaid100223300BKS

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MARK A.HERZOG

Dentist

804 E 8TH ST
ELLSWORTH, KS 67439

Ellsworth County (785) 472-5420

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 Herzog's NPI number?

The NPI number for Mark Herzog is 1275595290. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Mark Herzog located?

Mark Herzog practices at 804 E 8th St, Ellsworth, KS 67439. The listed phone number is (785) 472-5420.

What is Mark Herzog's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Herzog accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Herzog 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 Herzog was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.