Mark Andrew Baber, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

3594 Issued in AR

Practice address

591 S Horsebarn Rd Ste 100
Rogers, AR 72758-8710

Phone

(479) 636-3979

NPI assigned

Apr 24, 2007

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Jul 29, 2025 through Jul 29, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ozark Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
  • NPI 1588775449
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1174742456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABER",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AR",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166330679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Michele Ayres, D.O.
• Angela Lorraine Ayson, DPM
• Sameera Haznath Azad, MD
• B Shane Holland, DO, PLLC (Holland Health: A Functional Medicine Clinic)
• B. Kyle Benton, DDS, PA (Restorative Wellness Center)
• Bachert Family Chiropractic (Bachert Wellness Clinic)
• Travis R Bachert, D.C., F.I.A.M.A
• Macy Anne Badger
• Hannah Kay Bagley
• Abigail Bailey

• Oral & Maxillofacial Surgery (D.M.D.) in Rogers, AR
• Providers in Rogers, AR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.