DR. MARK A KEDZIERSKI D.D.S.
NPI 1710184973
Dentist in Melbourne, FL

Q: What is Mark Kedzierski's NPI number?

The NPI number for Mark Kedzierski is 1710184973. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Mark Kedzierski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kedzierski was last updated on January 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 29, 2007PECOS Enrolled

2990 BUSINESS CENTER BLVD, SUITE A, MELBOURNE, FL 32940(321) 254-0306(321) 254-0348 Get Directions Write a Review

NPPES record last updated: January 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mark A Kedzierski D.d.s. NPPES

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

DR. MARK A KEDZIERSKI D.D.S. (NPI 1710184973) is an individual dentist in Melbourne, Florida, licensed in Florida (DN 17178) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710184973

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARK A KEDZIERSKICredential: D.D.S.

Location Address2990 BUSINESS CENTER BLVD, SUITE AMelbourne, FL 32940-7135

Mailing Address2990 Business Center Blvd, Suite AMelbourne, FL 32940-7135 · (321) 254-0306 · Fax (321) 254-0348

Phone(321) 254-0306

Fax(321) 254-0348

Sole ProprietorNo

Enumeration DateJune 29, 2007

Last NPPES UpdateJanuary 23, 2011

✔ NPI 1710184973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN 17178

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2990 BUSINESS CENTER BLVD, Melbourne, FL 32940

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Accepted Insurance

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

Dr. Mark A Kedzierski 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 32940 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 Kedzierski's NPI number?

The NPI number for Mark Kedzierski is 1710184973. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Mark Kedzierski located?

Mark Kedzierski practices at 2990 Business Center Blvd Suite A, Melbourne, FL 32940. The listed phone number is (321) 254-0306.

What is Mark Kedzierski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Kedzierski enrolled in Medicare?

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

What insurance does Mark Kedzierski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Mark Kedzierski 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 Kedzierski was last updated on January 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.