Active NPI
Mark Kogan
- Oral and Maxillofacial Surgery (Dentist)
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN24843
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02581400 | NJ | MD | Dentist |
| DN24843 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honest Practices West Delray PA | Dentist | Current | Accepting new patients |
| Elizabeth M Rene PA | Past | 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
- 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.
-
- Dentist
- Delray Beach, FL
- NPI 1164282570
-
- Periodontics
- Stuart, FL
- NPI 1780708701
Oral and Maxillofacial Surgery
-
- Endodontics
- Stuart, FL
- NPI 1437830171
-
- General Practice Dentistry
- Sunrise, FL
- NPI 1609000181
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.