Individual provider Active NPI

Mark McLaren, D.D.S.

  • Dentist
  • Wichita, KS
National Provider Identifier
1083095558
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61397 Issued in KS
Practice address
4620 E Douglas Ave Ste 102
Wichita, KS 67208-3957
Phone
(316) 263-2444
Fax
(316) 260-2401
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61397 KS Primary

Addresses

Primary practice location

4620 E Douglas Ave Ste 102
Wichita, KS 67208-3957

Mailing address

4620 E Douglas Ave Ste 102
Wichita, KS 67208-3957
Phone (316) 263-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 9, 2023 through Mar 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61397KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph G Baba DDS PA CurrentSince Aug 17, 2025 Accepting new patients

Locations

4620 E Douglas Ave
Ste 102
Wichita, KS 67208
Phone (316) 263-2444

Organizations & group practices 1

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1083095558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 E DOUGLAS AVE STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083957",
            "telephone_number": "316-263-2444",
            "fax_number": "316-260-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E DOUGLAS AVE STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083957",
            "telephone_number": "316-263-2444",
            "fax_number": "316-260-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.