Kenneth Mark Builder, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D7773 Issued in OR

Practice address

123 SE Douglas St
Newport, OR 97365-4426

Phone

(541) 265-4221

Fax

(541) 574-6552

NPI assigned

Nov 9, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mark Builder Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Family Dental Group of Newport PC

  • Dentist
  • Newport, OR
  • NPI 1689892465
  NPD (past) Authorized official

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124009816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650080",
            "telephone_number": "541-265-4221",
            "fax_number": "541-574-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SE DOUGLAS ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654426",
            "telephone_number": "541-265-4221",
            "fax_number": "541-574-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUILDER",
        "first_name": "KENNETH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "BUILDER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenny Brosi
• Jason E Brown, PAC
• Katja Brown, QMHA
• Kelli Ann Brugh, LCSW
• Connie Buck, FNP-C
• Brent D. Bunker, CRNA
• Karen Fleenor Bunn, M.D.
• Lauren Morrison Burns, RD, LD
• Stephen M. Burns, MD
• Rachel D Bush

• Dentist in Newport, OR
• Providers in Newport, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.