MARK J FUNT DMD
NPI 1407945280
Oral & Maxillofacial Surgery in Elkins Park, PA

Active since October 12, 2006PECOS Enrolled
401 TOWNSHIP LINE RD, STE C, ELKINS PARK, PA 19027(215) 379-5520(215) 663-5934 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark J Funt Dmd NPPES

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

MARK J FUNT DMD (NPI 1407945280) is an individual oral & maxillofacial surgery provider in Elkins Park, Pennsylvania, licensed in Pennsylvania (DS019726L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407945280
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMARK J FUNTCredential: DMD
Location Address401 TOWNSHIP LINE RD, STE CElkins Park, PA 19027-2202
Mailing Address401 Township Line Rd, Ste CElkins Park, PA 19027-2202 · (215) 379-5520 · Fax (215) 663-5934
Fax(215) 663-5934
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 23, 2008
✔ NPI 1407945280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in PA · DS019726L
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
401 TOWNSHIP LINE RD, Elkins Park, PA 19027

Other Identifiers 2

Medicare UPINT75670
Medicare PIN049309PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark J Funt 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Funt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral & Maxillofacial Surgery
401 TOWNSHIP LINE ROAD, SUITE 'C'
Elkins Park, PA 19027
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Health Service)
401 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Dentist (Oral and Maxillofacial Surgery)
401 TOWNSHIP LINE RD, SUITE C
ELKINS PARK, PA 19027
Internal Medicine (Cardiovascular Disease)
401 TOWNSHIP LINE RD, SUITE A
ELKINS PARK, PA 19027
Pediatrics
401 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Internal Medicine (Cardiovascular Disease)
401 TOWNSHIP LINE RD, SUITE A
ELKINS PARK, PA 19027
Internal Medicine (Cardiovascular Disease)
401 TOWNSHIP LINE RD, SUITE A
ELKINS PARK, PA 19027
Internal Medicine (Cardiovascular Disease)
401 TOWNSHIP LINE RD, SUITE A
ELKINS PARK, PA 19027

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 Funt's NPI number?

The NPI number for Mark Funt is 1407945280. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mark Funt located?

Mark Funt practices at 401 Township Line Rd Ste C, Elkins Park, PA 19027. The listed phone number is (215) 379-5520.

What is Mark Funt's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mark Funt enrolled in Medicare?

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

Which organization bills Medicare for Mark Funt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Funt reassigns Medicare benefits to Greater Philadelphia Oral Surgery PC (Elkins Park, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Funt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Funt was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.