DR. MARK ESTES LAWTON D.D.S.
NPI 1679582449
Dentist - General Practice in Houston, TX

Q: What is Mark Lawton's NPI number?

The NPI number for Mark Lawton is 1679582449. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Mark Lawton's specialty?

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

Q: Is Mark Lawton enrolled in Medicare?

No. Mark Lawton has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mark Lawton was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 August 07, 2006Opted out of Medicare · through Feb 1, 2028

13236 NORTHWEST FWY, HOUSTON, TX 77040(281) 447-2186(281) 447-0892 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Estes Lawton D.d.s. NPPES

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

DR. MARK ESTES LAWTON D.D.S. (NPI 1679582449) is an individual general practice provider in Houston, Texas, licensed in Texas (22216) and active in the NPI registry since August 2006. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679582449

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK ESTES LAWTONCredential: D.D.S.

Location Address13236 NORTHWEST FWYHouston, TX 77040-6003

Mailing Address13236 Northwest FwyHouston, TX 77040-6003 · (281) 447-2186 · Fax (281) 447-0892

Phone(281) 447-2186

Fax(281) 447-0892

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1679582449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22216

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.

13236 NORTHWEST FWY, Houston, TX 77040

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Mark Estes Lawton D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2016 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2016

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77040 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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

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

DR. NATHANIAL PRESTON ELLIS DMD

Dentist (General Practice)

13236 NORTHWEST FWY
HOUSTON, TX 77040

Harris County (281) 447-2186

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 Lawton's NPI number?

The NPI number for Mark Lawton is 1679582449. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Mark Lawton located?

Mark Lawton practices at 13236 Northwest Fwy, Houston, TX 77040. The listed phone number is (281) 447-2186.

What is Mark Lawton's specialty?

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

Is Mark Lawton enrolled in Medicare?

No. Mark Lawton has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Lawton 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 and Humana list Mark Lawton 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 Lawton was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.