MARK AVETOOM D.D.S.
NPI 1629137708
Dentist - General Practice in Tustin, CA

Q: What is Mark Avetoom's NPI number?

The NPI number for Mark Avetoom is 1629137708. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Mark Avetoom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Avetoom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 06, 2006PECOS Enrolled

210 W. MAIN ST., SUITE 106, TUSTIN, CA 92780(714) 544-1877(714) 832-3200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Avetoom D.d.s. NPPES

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

MARK AVETOOM D.D.S. (NPI 1629137708) is an individual general practice provider in Tustin, California, licensed in California (36131) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629137708

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMARK AVETOOMCredential: D.D.S.

Location Address210 W. MAIN ST., SUITE 106Tustin, CA 92780

Mailing Address210 W. Main St., Suite 106Tustin, CA 92780 · (714) 544-1877 · Fax (714) 832-3200

Phone(714) 544-1877

Fax(714) 832-3200

Sole ProprietorNo

Enumeration DateDecember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629137708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 36131

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

210 W. MAIN ST., Tustin, CA 92780

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Accepted Insurance

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

✔

Enrolled in Medicare (PECOS)

Mark Avetoom D.d.s. 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 92780 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 Mark Avetoom's NPI number?

The NPI number for Mark Avetoom is 1629137708. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Mark Avetoom located?

Mark Avetoom practices at 210 W. Main St. Suite 106, Tustin, CA 92780. The listed phone number is (714) 544-1877.

What is Mark Avetoom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Avetoom enrolled in Medicare?

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

What insurance does Mark Avetoom accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mark Avetoom 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 Avetoom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.