DR. MARK ANTHONY BOLDT DDS
NPI 1831291996
Dentist - Prosthodontics in West Allis, WI

Q: What is Mark Boldt's NPI number?

The NPI number for Mark Boldt is 1831291996. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Mark Boldt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Boldt was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 01, 2006PECOS Enrolled

2323 S. 109TH STREET, SUITE 295, WEST ALLIS, WI 53227(414) 545-5225(414) 545-5251 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Anthony Boldt Dds NPPES

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

DR. MARK ANTHONY BOLDT DDS (NPI 1831291996) is an individual prosthodontics provider in West Allis, Wisconsin, licensed in Wisconsin (4290-015) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831291996

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. MARK ANTHONY BOLDTCredential: DDS

Location Address2323 S. 109TH STREET, SUITE 295West Allis, WI 53227

Mailing Address2323 S. 109th Street, Suite 295West Allis, WI 53227 · (414) 545-5225 · Fax (414) 545-5251

Phone(414) 545-5225

Fax(414) 545-5251

Sole ProprietorYes

Enumeration DateSeptember 1, 2006

Last NPPES UpdateFebruary 10, 2017

✔ NPI 1831291996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in WI · 4290-015

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

2323 S. 109TH STREET, West Allis, WI 53227

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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)

Dr. Mark Anthony Boldt 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 53227 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 Boldt's NPI number?

The NPI number for Mark Boldt is 1831291996. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Mark Boldt located?

Mark Boldt practices at 2323 S. 109th Street Suite 295, West Allis, WI 53227. The listed phone number is (414) 545-5225.

What is Mark Boldt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Mark Boldt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Boldt was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.