Active NPI
Mark I Degen, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10535
- Practice address
- 6140 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-6737 - Phone
- (702) 253-9090
- Fax
- (702) 253-9083
- NPI assigned
- Nov 22, 2006
- Last updated
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10535 | NV | Primary |
Addresses
Primary practice location
6140 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-6737
Mailing address
4730 S Fort Apache Rd
Ste 390
Las Vegas, NV 89147-7945
Phone (702) 253-9090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598946261 | Other | NV | GROUP NPI NUMBER |
| 200078388 | Other | NV | TAX ID |
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
- Opted out of Medicare
- Yes, effective Apr 3, 2015 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark I Degen DDS MD LTD | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
4730 S Fort Apache Rd
Ste 390
Las Vegas, NV 89147
Phone (702) 253-9090
6140 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148
Phone (702) 253-9090
Interoperability endpoints
- mdegen13166@direct.umcsn.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Red Rock Oral & Maxillofacial Surgery Centre
- Oral and Maxillofacial Surgery Clinic/Center
- Las Vegas, NV
- NPI 1598946261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1215002225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 S FORT APACHE RD",
"address_2": "STE 390",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477945",
"telephone_number": "702-253-9090",
"fax_number": "702-253-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 S FORT APACHE RD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486737",
"telephone_number": "702-253-9090",
"fax_number": "702-253-9083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEN",
"first_name": "MARK",
"middle_name": "I",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NV",
"license": "10535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1598946261",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "200078388",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.