Individual provider Active NPI

Mark Thomas Ash, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Duluth, MN
National Provider Identifier
1164045738
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D14360 Issued in MN
Practice address
3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone
(218) 722-8377
NPI assigned
May 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6001917-15 WI
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D14360 MN Primary

Addresses

Primary practice location

3617 W Arrowhead Rd
Duluth, MN 55811-4132

Mailing address

3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone (630) 843-1936

Other practice location 1

515 Delaware St SE
Minneapolis, MN 55455-0357
Phone (612) 301-2233

Other practice location 2

3899 Highway 73 Ste 5-6
Hibbing, MN 55746-8348
Phone (218) 293-0691

Other practice location 3

503 Belknap St
Superior, WI 54880-2932
Phone (715) 564-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250807001932 MN Practitioner - Oral Surgery 1951727981 Reassigns benefits to 1 organization
I20250822000663 WI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 1951727981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Michigan School of Dentistry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Northern Oral and Maxillofacial Surgeons PAGroup PAC ID 3072535863, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone (218) 722-8377

503 Belknap St
Superior, WI 54880-2932
Phone (715) 564-4081

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001917-15WIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oral & Maxillofacial Surgeons, PA Oral and Maxillofacial Surgery CurrentSince Aug 1, 2025 Accepting new patients
Northern Oral & Maxillofacial Surgeons, PA Oral and Maxillofacial Surgery Current Accepting new patients
Northern Oral & Maxillofacial Surgeons, PA Oral and Maxillofacial Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

3617 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 722-4484

3899 Highway 73
Ste 6
Hibbing, MN 55746
Phone (218) 293-0691

503 Belknap St
Superior, WI 54880
Phone (715) 564-4081

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1164045738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114132",
            "telephone_number": "630-843-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114132",
            "telephone_number": "218-722-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Delaware St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550357",
            "country_code": "US",
            "telephone_number": "612-301-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3899 Highway 73 Ste 5-6",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557468348",
            "country_code": "US",
            "telephone_number": "218-293-0691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Belknap St",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548802932",
            "country_code": "US",
            "telephone_number": "715-564-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASH",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6001917-15",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D14360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.