MARK J REDD D.D.S
NPI 1962591644
Dentist - Periodontics in Laguna Hills, CA

Active since October 12, 2006PECOS Enrolled
25261 PASEO DE VALENCIA, LAGUNA HILLS, CA 92637(949) 581-6641(949) 581-2831 Get Directions Write a Review

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

About Mark J Redd D.d.s NPPES

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

MARK J REDD D.D.S (NPI 1962591644) is an individual periodontics provider in Laguna Hills, California, licensed in California (44438) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962591644
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMARK J REDDCredential: D.D.S
Location Address25261 PASEO DE VALENCIALaguna Hills, CA 92637-4966
Mailing Address25261 Paseo De ValenciaLaguna Hills, CA 92637-4966 · (949) 581-6641 · Fax (949) 581-2831
Fax(949) 581-2831
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962591644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 44438
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
25261 PASEO DE VALENCIA, Laguna Hills, CA 92637

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 J Redd 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 92637 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 8

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

Dentist (Endodontics)
25261 PASEO DE VALENCIA, SUITE 3
LAGUNA HILLS, CA 92637
Dentist (Endodontics)
25261 PASEO DE VALENCIA, SUITE 3
LAGUNA HILLS, CA 92637
Dentist (General Practice)
25261 PASEO DE VALENCIA, SUITE 1
LAGUNA WOODS, CA 92637
Dentist (Endodontics)
25261 PASEO DE VALENCIA, SUITE 3
LAGUNA HILLS, CA 92637
Dentist (Periodontics)
25261 PASEO DE VALENCIA
LAGUNA HILLS, CA 92637
Dentist (Prosthodontics)
25261 PASEO DE VALENCIA, STE 2
LAGUNA HILLS, CA 92637
Dentist (Endodontics)
25261 PASEO DE VALENCIA, SUITE 3
LAGUNA HILLS, CA 92637
Dentist (Prosthodontics)
25261 PASEO DE VALENCIA, SUITE 2
LAGUNA WOODS, CA 92637

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 Redd's NPI number?

The NPI number for Mark Redd is 1962591644. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mark Redd located?

Mark Redd practices at 25261 Paseo De Valencia, Laguna Hills, CA 92637. The listed phone number is (949) 581-6641.

What is Mark Redd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mark Redd enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Redd 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.