ST. MARK FAMILY DENTAL
NPI 1427447028
Dentist in Canoga Park, CA

Active since January 20, 2015
20913 SHERMAN WAY, CANOGA PARK, CA 91303(818) 992-4600(818) 992-4602 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About St. Mark Family Dental NPPES

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

ST. MARK FAMILY DENTAL (NPI 1427447028) is a healthcare organization registered as a dentist in Canoga Park, California and active in the NPI registry since January 2015. The organization lists Maged M Elnaggar, Dentist, as its authorized official.

NPPES Registry Identity

NPI1427447028
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameELNAGGAR DDS INC
Location Address20913 SHERMAN WAYCanoga Park, CA 91303-1743
Mailing Address20913 Sherman WayCanoga Park, CA 91303-1743 · (818) 992-4600 · Fax (818) 992-4602
Fax(818) 992-4602
Organization SubpartNo
Authorized OfficialMaged M ElnaggarDentist · (818) 667-8257
Enumeration DateJanuary 20, 2015
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1427447028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 60170
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.
20913 SHERMAN WAY, Canoga Park, CA 91303

Other Names 1

Doing Business AsSt. Mark Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Mark Family Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St. Mark Family Dental, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1912203100
8500 HATILLO AVE
Winnetka, CA 91306
(818) 667-8257
✔ PECOS2.1 mi

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

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 Elnaggar Dds Inc's NPI number?

The NPI number for Elnaggar Dds Inc is 1427447028. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as St. Mark Family Dental.

Where is Elnaggar Dds Inc located?

Elnaggar Dds Inc is located at 20913 Sherman Way, Canoga Park, CA 91303. The listed phone number is (818) 992-4600.

What is Elnaggar Dds Inc's specialty?

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

Is Elnaggar Dds Inc enrolled in Medicare?

Yes. Elnaggar Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elnaggar Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Elnaggar Dds Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elnaggar Dds Inc accept?

Health plans from UnitedHealthcare list Elnaggar Dds Inc 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 Elnaggar Dds Inc was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.