DR. MARK VINCENT WAGNER DMD
NPI 1528419074
Dentist in Highland Village, TX

Active since June 27, 2016PECOS Enrolled
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077(469) 444-6500(972) 317-0777 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2020, Jul 20, 2020, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Mark Vincent Wagner Dmd NPPES

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

DR. MARK VINCENT WAGNER DMD (NPI 1528419074) is an individual dentist in Highland Village, Texas, licensed in Texas (34961) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528419074
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK VINCENT WAGNERCredential: DMD
Location Address2600 VILLAGE PKWY STE 120Highland Village, TX 75077-3285
Mailing Address2600 Village Pkwy Ste 120Highland Village, TX 75077-3285 · (469) 444-6500
Fax(972) 317-0777
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1528419074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in TX · 34961 Licensed in NM · DD4556
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.
2600 VILLAGE PKWY STE 120, Highland Village, TX 75077

Accepted 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 Vincent Wagner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75077 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 3

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

Dentist
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077
Dentist (General Practice)
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077
Clinic/Center (Dental)
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077

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 Wagner's NPI number?

The NPI number for Mark Wagner is 1528419074. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Mark Wagner located?

Mark Wagner practices at 2600 Village Pkwy Ste 120, Highland Village, TX 75077. The listed phone number is (469) 444-6500.

What is Mark Wagner's specialty?

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

Is Mark Wagner enrolled in Medicare?

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

What insurance does Mark Wagner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Mark Wagner 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 Wagner was last updated on August 18, 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.