DR. EDWARD MAURICE MACK D.D.S.
NPI 1457485492
Dentist - Endodontics in Memphis, TN

Q: What is Edward Mack's NPI number?

The NPI number for Edward Mack is 1457485492. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Edward Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Edward Mack enrolled in Medicare?

No. Edward Mack has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Edward Mack was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 March 14, 2007Opted out of Medicare · through Feb 18, 2028

704 W BROOKHAVEN CIR, MEMPHIS, TN 38117(901) 683-2221(901) 683-2882 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Edward Maurice Mack D.d.s. NPPES

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

DR. EDWARD MAURICE MACK D.D.S. (NPI 1457485492) is an individual endodontics provider in Memphis, Tennessee, licensed in Tennessee (DS0000007948) and active in the NPI registry since March 2007. He has opted out of Medicare through February 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457485492

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. EDWARD MAURICE MACKCredential: D.D.S.

Location Address704 W BROOKHAVEN CIRMemphis, TN 38117-4504

Mailing Address704 W Brookhaven CirMemphis, TN 38117-4504 · (901) 683-2221 · Fax (901) 683-2882

Phone(901) 683-2221

Fax(901) 683-2882

Sole ProprietorNo

Enumeration DateMarch 14, 2007

Last NPPES UpdateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1457485492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in TN · DS0000007948

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

704 W BROOKHAVEN CIR, Memphis, TN 38117

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward Maurice Mack D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2016 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2016

Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38117 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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 Edward Mack's NPI number?

The NPI number for Edward Mack is 1457485492. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Edward Mack located?

Edward Mack practices at 704 W Brookhaven Cir, Memphis, TN 38117. The listed phone number is (901) 683-2221.

What is Edward Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Edward Mack enrolled in Medicare?

No. Edward Mack has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Edward Mack accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Edward Mack 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 Edward Mack was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.