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MARK OHAN MANOUKIAN DMD
NPI 1720290307
Dentist in Greenbrae, CA

Active since May 04, 2007PECOS Enrolled
1321 S ELISEO DR, GREENBRAE, CA 94904(415) 461-9350(415) 461-4970 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Ohan Manoukian Dmd NPPES

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

MARK OHAN MANOUKIAN DMD (NPI 1720290307) is an individual dentist in Greenbrae, California, licensed in California (53925) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720290307
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK OHAN MANOUKIANCredential: DMD
Location Address1321 S ELISEO DRGreenbrae, CA 94904
Mailing Address1321 S Eliseo DrGreenbrae, CA 94904 · (415) 461-9350 · Fax (415) 461-4970
Phone(415) 461-9350
Fax(415) 461-4970
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720290307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 53925
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.
1321 S ELISEO DR, Greenbrae, CA 94904
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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 Ohan Manoukian Dmd 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 94904 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 15

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

THOMAS P. COLLINS, DDS, A PC
Dentist (General Practice)
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-5926
CHRISTIAN CARTER ROHDE DDS
Dentist
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-9350
DR. HUGO VICTOR SCHMIDT III D.D.S.
Dentist (Prosthodontics)
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-8577
DR. ROGER L PANCOSKA D.D.S.
Dentist
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-1830
GILA C DOROSTKAR D.D.S.
Dentist (Pediatric Dentistry)
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-0414
TAMALPAIS SPEECH AND FEEDING THERAPY, INC
Speech-Language Pathologist
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 766-7405
DR. LAURA O NICHOLS D.D.S, M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-9755
DR. LAMBERT OWEN NICHOLS D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1321 S ELISEO DR
GREENBRAE, CA 94904
Marin County (415) 461-9755

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 Manoukian's NPI number?

The NPI number for Mark Manoukian is 1720290307. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Mark Manoukian located?

Mark Manoukian practices at 1321 S Eliseo Dr, Greenbrae, CA 94904. The listed phone number is (415) 461-9350.

What is Mark Manoukian's specialty?

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

Is Mark Manoukian enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Manoukian 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.