1. Home
  2. Directory
  3. Colorado
  4. Fountain
  5. Dentist
  6. NPI Profile

DR. MARK CARLYLE WOODBURY DMD
NPI 1619663051
Dentist - Pediatric Dentistry in Fountain, CO

Active since April 17, 2023PECOS Enrolled
6620 CAMDEN BLVD, FOUNTAIN, CO 80817(719) 631-6136 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Carlyle Woodbury Dmd NPPES

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

DR. MARK CARLYLE WOODBURY DMD (NPI 1619663051) is an individual pediatric dentistry provider in Fountain, Colorado, licensed in Colorado (DEN.00206270) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619663051
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARK CARLYLE WOODBURYCredential: DMD
Location Address6620 CAMDEN BLVDFountain, CO 80817-2505
Mailing Address8276 Mosby WayColorado Springs, CO 80908-5692 · (801) 712-7403
Phone(719) 631-6136
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1619663051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CO · DEN.00206270
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6620 CAMDEN BLVD, Fountain, CO 80817
Open in Google Maps ↗

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 Carlyle Woodbury 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 80817 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

IMAGINE KIDS DENTISTRY PLLC
Dentist (Pediatric Dentistry)
6620 CAMDEN BLVD
FOUNTAIN, CO 80817
El Paso County (719) 722-4999
JOHNSON ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
6620 CAMDEN BLVD
FOUNTAIN, CO 80817
El Paso County (719) 631-6649
SMILE DOCTORS OF COLORADO, P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
6620 CAMDEN BLVD
FOUNTAIN, CO 80817
El Paso County (719) 631-6649
CHRISTOPHER JOHNSON DDS
Dentist (Pediatric Dentistry)
6620 CAMDEN BLVD
FOUNTAIN, CO 80817
El Paso County (719) 631-6136

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 Woodbury's NPI number?

The NPI number for Mark Woodbury is 1619663051. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Mark Woodbury located?

Mark Woodbury practices at 6620 Camden Blvd, Fountain, CO 80817. The listed phone number is (719) 631-6136.

What is Mark Woodbury's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mark Woodbury enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Woodbury was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.