Bennedick Mara, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35161 Issued in TX

Practice address

5345 W University Dr # 200
McKinney, TX 75071-7824

Phone

(214) 556-5664

NPI assigned

Jun 25, 2019

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

Medicare fee-for-service enrollment

Enrolled in TX

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

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 and National Provider Directory roles.

• Mobo JV LLC

  • Dental Clinic/Center
  • Heath, TX
  • NPI 1669113056
  NPD (past)
• NW Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1023453677
  NPD (past)
• Red Oak Family Dentistry, PLLC

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1013445089
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1356902829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 BOLIVAR DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750722990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 W UNIVERSITY DR # 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717824",
            "telephone_number": "214-556-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARA",
        "first_name": "BENNEDICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mannis, ATC, LAT
• Janeen Manoun, PA-C
• Felicia Manu
• Nandana Mapakshi, M.D
• Kimberly D. Mapes, M.S.
• Keith Maraffa, D.C.
• Rebbekkah Christine Marasco, ARNP
• Sunie Gae Marchbanks, D.D.S.
• Cathy Marchino, PT
• Nicole Elaine Marcum, LCSW

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.