DR. MARK EDWARD WHALEN DMD
NPI 1679676084
Dentist - General Practice in Cerritos, CA

Active since September 07, 2006Opted out of Medicare · through Jan 5, 2028
10945 SOUTH STREET, SUITE 105A, CERRITOS, CA 90703(562) 929-6994(562) 924-7760 Get Directions Write a Review

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

About Dr. Mark Edward Whalen Dmd NPPES

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

DR. MARK EDWARD WHALEN DMD (NPI 1679676084) is an individual general practice provider in Cerritos, California, licensed in California (032778) and active in the NPI registry since September 2006. He has opted out of Medicare through January 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679676084
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK EDWARD WHALENCredential: DMD
Location Address10945 SOUTH STREET, SUITE 105ACerritos, CA 90703
Mailing Address10945 South Street, Suite 105aCerritos, CA 90703 · (562) 929-6994 · Fax (562) 924-7760
Fax(562) 924-7760
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1679676084 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 · 032778
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.
10945 SOUTH STREET, Cerritos, CA 90703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark Edward Whalen Dmd 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 January 5, 2016 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2016
Opt-Out In Effect ThroughJanuary 5, 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 90703 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.

Other Providers at the Same Location NPPES

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

Home Health
10945 SOUTH STREET, #202A
CERRITOS, CA 90703

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 Whalen's NPI number?

The NPI number for Mark Whalen is 1679676084. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Mark Whalen located?

Mark Whalen practices at 10945 South Street Suite 105A, Cerritos, CA 90703. The listed phone number is (562) 929-6994.

What is Mark Whalen's specialty?

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

Is Mark Whalen enrolled in Medicare?

No. Mark Whalen has opted out of Medicare through January 5, 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 Whalen 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, Florida Combined Life and Humana and 1 other insurer list Mark Whalen 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 Whalen 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.