Individual provider Active NPI

Mark Kogan

  • Oral and Maxillofacial Surgery (Dentist)
  • Delray Beach, FL
National Provider Identifier
1043630197
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN24843 Issued in FL
Practice address
8752 Atlantic Ave
Delray Beach, FL 33446-9814
Phone
(561) 206-2973
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02581400 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN24843 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8752 Atlantic Ave
Delray Beach, FL 33446-9814

Mailing address

8278 Banpo Bridge Way
Delray Beach, FL 33446-0031
Phone (201) 406-6596

Other practice location 1

17027 Pines Blvd
Pembroke Pines, FL 33027-1003
Phone (954) 289-6746

Other practice location 2

5443 W Atlantic Blvd
Margate, FL 33063-5210
Phone (561) 903-2568

Other practice location 3

3027 Forest Hill Blvd Ste A3
West Palm Beach, FL 33406-5934
Phone (561) 459-1488

Other practice location 4

2830 SE Federal Hwy
Stuart, FL 34994-5738
Phone (772) 219-2224

Other practice location 5

1449 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1968
Phone (772) 210-9370

Other practice location 6

987 N University Dr
Coral Springs, FL 33071-7048
Phone (954) 289-9157

Other practice location 7

10151 W Commercial Blvd
Sunrise, FL 33351-4327
Phone (954) 720-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02581400NJMDDentist
DN24843FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Honest Practices West Delray PA Dentist CurrentSince Mar 24, 2024 Accepting new patients
Elizabeth M Rene PA PastSince Jul 31, 2023 Accepting new patients
Gentle Dentistry of Tamarac Past Accepting new patients
Center for Specialized Dentistry, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmark249905@mhsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1043630197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8278 BANPO BRIDGE WAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334460031",
            "telephone_number": "201-406-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469814",
            "telephone_number": "561-206-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17027 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271003",
            "country_code": "US",
            "telephone_number": "954-289-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5443 W Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635210",
            "country_code": "US",
            "telephone_number": "561-903-2568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3027 Forest Hill Blvd Ste A3",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065934",
            "country_code": "US",
            "telephone_number": "561-459-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 SE Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349945738",
            "country_code": "US",
            "telephone_number": "772-219-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1449 NW Saint Lucie West Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861968",
            "country_code": "US",
            "telephone_number": "772-210-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "987 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330717048",
            "country_code": "US",
            "telephone_number": "954-289-9157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10151 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333514327",
            "country_code": "US",
            "telephone_number": "954-720-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02581400",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN24843",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.