DR. MARK L MASHBURN D.D.S.
NPI 1417035395
Dentist - General Practice in Texarkana, TX

Q: What is Mark Mashburn's NPI number?

The NPI number for Mark Mashburn is 1417035395. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mark Mashburn'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 Mashburn was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 01, 2006PECOS Enrolled

1400 COLLEGE DR STE 204, TEXARKANA, TX 75503(903) 791-1110(903) 791-9353 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, Sep 16, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Mark L Mashburn D.d.s. NPPES

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

DR. MARK L MASHBURN D.D.S. (NPI 1417035395) is an individual general practice provider in Texarkana, Texas, licensed in Texas (22854) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Texarkana.

NPPES Registry Identity

NPI1417035395

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK L MASHBURNCredential: D.D.S.

Location Address1400 COLLEGE DR STE 204Texarkana, TX 75503-3575

Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764

Phone(903) 791-1110

Fax(903) 791-9353

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1417035395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TX · 22854✔ Licensed in AR · 3526

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.

Also ListedDentistTaxonomy 122300000X · License 22854 (TX)

1400 COLLEGE DR STE 204, Texarkana, TX 75503

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Secondary Practice Location 1

Location 14306 Texas BlvdTexarkana, TX 75503-3014 · Phone (903) 794-5386 · Fax (903) 794-0419

Other Identifiers 3

Other22854TX · Tx License

Other1746328AR · United Concordia

Other5Y565AR · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Dr. Mark L Mashburn D.d.s. 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 75503 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

DANETTE ALLEN LCSW

Social Worker