THOMAS MICHAEL MACK DDS
NPI 1659474013
Dentist - General Practice in Glendale, AZ

Active since September 07, 2006PECOS Enrolled
17215 N 72ND DR, STE A100, GLENDALE, AZ 85308(623) 582-8384(623) 582-1722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Michael Mack Dds NPPES

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

THOMAS MICHAEL MACK DDS (NPI 1659474013) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (3872) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659474013
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHOMAS MICHAEL MACKCredential: DDS
Location Address17215 N 72ND DR, STE A100Glendale, AZ 85308
Mailing Address17215 N 72nd Dr, Ste A100Glendale, AZ 85308 · (623) 582-8384 · Fax (623) 582-1722
Fax(623) 582-1722
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659474013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in AZ · 3872 Licensed in NM · 1682 Licensed in SC · 3681
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.

17215 N 72ND DR, Glendale, AZ 85308

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)

Thomas Michael Mack Dds 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 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 10

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

Counselor (Professional)
17215 N 72ND DR
GLENDALE, AZ 85308
Chiropractor
17215 N 72ND DR, STE 105
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
17215 N 72ND DR, D-140A
GLENDALE, AZ 85308
Social Worker (Clinical)
17215 N 72ND DR, SUITE D140
GLENDALE, AZ 85308
Family Medicine
17215 N 72ND DR, SUITE C-125
GLENDALE, AZ 85308
Chiropractor (Internist)
17215 N 72ND DR, SUITE 105
GLENDALE, AZ 85308
Chiropractor
17215 N 72ND DR, SUITE A105
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
17215 N 72ND DR, BUILDING D 140A
GLENDALE, AZ 85308

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 Thomas Mack's NPI number?

The NPI number for Thomas Mack is 1659474013. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Thomas Mack located?

Thomas Mack practices at 17215 N 72nd Dr Ste A100, Glendale, AZ 85308. The listed phone number is (623) 582-8384.

What is Thomas Mack's specialty?

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

Is Thomas Mack enrolled in Medicare?

Yes. Thomas Mack is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Mack accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Thomas 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 Thomas Mack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.