Mark A.Herzog
Mark A.Herzog is a healthcare organization registered as Dentist in Ellsworth, KS, holding Type 2 (organization) NPI 1487992004 since 2013. The authorized official on file is Mark Herzog, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487992004 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark A.Herzog |
| Practice address | 804 E 8TH ST, Ellsworth, KS, 67439 |
| Phone | 7854725420 |
| Fax | 7854728995 |
| Enumeration date | 2013-01-17 |
| Last updated in NPPES | 2013-01-17 |
Authorized official
| Name | Mark Herzog |
|---|---|
| Title | President |
| Phone | 7854725420 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 6269 | KS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100223300B | Medicaid | KS | — |
Copy-ready billing details
Provider: Mark A.Herzog NPI: 1487992004 Taxonomy: 122300000X (Dentist) Address: 804 E 8TH ST, Ellsworth, KS, 67439
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275595290 | Mark Herzog | Individual | General Practice Dentistry | Ellsworth, KS |
Verify this record
Cross-check NPI 1487992004 against the authoritative CMS record: view Mark A.Herzog on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mark A.Herzog?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-01-17.