MARK A.HERZOG
NPI 1487992004
Dentist in Ellsworth, KS

Q: What is Mark A.Herzog's NPI number?

The NPI number for Mark A.Herzog is 1487992004. It was assigned to this organization in the NPPES registry on January 17, 2013.

Q: What is Mark A.Herzog's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark A.Herzog was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 17, 2013

804 E 8TH ST, ELLSWORTH, KS 67439(785) 472-5420(785) 472-8995 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark A.herzog NPPES

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

MARK A.HERZOG (NPI 1487992004) is a healthcare organization registered as a dentist in Ellsworth, Kansas and active in the NPI registry since January 2013. The organization lists Mark Alan Herzog, President, as its authorized official.

NPPES Registry Identity

NPI1487992004

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMARK A.HERZOG

Location Address804 E 8TH STEllsworth, KS 67439-2535

Mailing Address804 E 8th StEllsworth, KS 67439-2535 · (785) 472-5420 · Fax (785) 472-8995

Phone(785) 472-5420

Fax(785) 472-8995

Organization SubpartNo

Authorized OfficialMark Alan HerzogPresident · (785) 472-5420

Enumeration DateJanuary 17, 2013

✔ NPI 1487992004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KS · 6269

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.

804 E 8TH ST, Ellsworth, KS 67439

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Other Identifiers 1

Medicaid100223300BKS

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. MARK A. HERZOG D.D.S, P.A.

Dentist (General Practice)

804 E 8TH ST
ELLSWORTH, KS 67439

Ellsworth County (785) 472-5420

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 A.Herzog's NPI number?

The NPI number for Mark A.Herzog is 1487992004. It was assigned to this organization in the NPPES registry on January 17, 2013.

Where is Mark A.Herzog located?

Mark A.Herzog is located at 804 E 8th St, Ellsworth, KS 67439. The listed phone number is (785) 472-5420.

What is Mark A.Herzog's specialty?

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

What insurance does Mark A.Herzog accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mark A.Herzog 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 A.Herzog was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.