1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Dentist
  6. NPI Profile

DR. MARK ANDREW HOLMAN D.D.S.
NPI 1972720613
Dentist - Endodontics in Overland Park, KS

Active since April 20, 2007PECOS Enrolled
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211(913) 438-3636(913) 498-0935 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mark Andrew Holman D.d.s. NPPES

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

DR. MARK ANDREW HOLMAN D.D.S. (NPI 1972720613) is an individual endodontics provider in Overland Park, Kansas, licensed in Kansas (60917) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972720613
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MARK ANDREW HOLMANCredential: D.D.S.
Location Address4601 W 109TH ST, SUITE 250Overland Park, KS 66211-1318
Mailing Address4601 W 109th St, Suite 250Overland Park, KS 66211-1318 · (913) 438-3636 · Fax (913) 498-0935
Phone(913) 438-3636
Fax(913) 498-0935
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 21, 2014
✔ NPI 1972720613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in KS · 60917
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4601 W 109TH ST, Overland Park, KS 66211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 Andrew Holman 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 66211 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 20

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

JOON WON KIM DDS
Dentist (Endodontics)
4601 W 109TH ST, SUITE 250
OVERLAND PARK, KS 66211
Johnson County (913) 498-3636
PATRICK B. LILLIS D.D.S.
Dentist (General Practice)
4601 W 109TH ST, STE. 225
OVERLAND PARK, KS 66211
Johnson County (913) 236-7751
OPTICAL OPTIONS CIBIS LTD
Technician/Technologist (Optician)
4601 W 109TH ST, 100
OVERLAND PARK, KS 66211
Johnson County (913) 317-9184
ROY K OYER
Urology
4601 W 109TH ST, SUITE 314
OVERLAND PARK, KS 66211
Johnson County (913) 663-2442
HAAKE FAMILY DENTAL LLC
Dentist (Endodontics)
4601 W 109TH ST, SUITE 112
OVERLAND PARK, KS 66211
Johnson County (913) 381-6644
DR. LARA L TULL RYAN MS
Dentist
4601 W 109TH ST, SUITE 212
OVERLAND PARK, KS 66211
Johnson County (913) 491-5548
DONNA RUCK ARNP
Nurse Practitioner
4601 W 109TH ST, SUITE 302
OVERLAND PARK, KS 66211
Johnson County (913) 599-2440
DR. THOMAS HOWARD FAERBER M.D., D.D.S.
Oral & Maxillofacial Surgery
4601 W 109TH ST, SUITE 118
OVERLAND PARK, KS 66211
Johnson County (913) 469-8895

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 Holman's NPI number?

The NPI number for Mark Holman is 1972720613. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Mark Holman located?

Mark Holman practices at 4601 W 109th St Suite 250, Overland Park, KS 66211. The listed phone number is (913) 438-3636.

What is Mark Holman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Mark Holman enrolled in Medicare?

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

What insurance does Mark Holman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Mark Holman 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 Holman was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.