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MARK BENTLEY BLEAK DMD
NPI 1407046360
Dentist in Farmington, NM

Active since July 26, 2007PECOS Enrolled
1001 W BROADWAY STE D, FARMINGTON, NM 87401(505) 325-9133 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Bentley Bleak Dmd NPPES

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

MARK BENTLEY BLEAK DMD (NPI 1407046360) is an individual dentist in Farmington, New Mexico, licensed in New Mexico (DD2905) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407046360
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK BENTLEY BLEAKCredential: DMD
Location Address1001 W BROADWAY STE DFarmington, NM 87401-5638
Mailing Address1001 W Broadway Ste DFarmington, NM 87401-5638 · (505) 325-9133
Phone(505) 325-9133
Sole ProprietorNo
Enumeration DateJuly 26, 2007
✔ NPI 1407046360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD2905
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.
1001 W BROADWAY STE D, Farmington, NM 87401
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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.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)

Mark Bentley Bleak 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 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

PRESBYTERIAN MEDICAL SERVICES
Clinical Medical Laboratory
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-9157
BETTY LOU GONZALES
Health Educator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 327-4796
MRS. EVELINA R. JOHN CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-3566
JESSICA HERNANDEZ
Behavior Analyst
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 325-0238
KAREN A SILVERSMITH CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 360-1779
JAN MICHAEL ANTONIO CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 592-7553
MR. JAMES WILLIAM ALBIN
Behavior Analyst
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-2695
MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC
Counselor (Addiction (Substance Use Disorder))
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 325-0238

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 Bleak's NPI number?

The NPI number for Mark Bleak is 1407046360. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Mark Bleak located?

Mark Bleak practices at 1001 W Broadway Ste D, Farmington, NM 87401. The listed phone number is (505) 325-9133.

What is Mark Bleak's specialty?

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

Is Mark Bleak enrolled in Medicare?

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

What insurance does Mark Bleak accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Bleak 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 Bleak was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.