NPIMap

Organization Active NPI

Mark I Degen DDS MD LTD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1598946261
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
10535 Issued in NV
Legal business name
MARK I DEGEN DDS MD LTD
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 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Mark I Degen, M.D. DDSNPI 1215002225
Title
President/Owner
Phone
70222539090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 10535 NV
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 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 Road
Ste 390
Las Vegas, NV 89147
Phone (702) 253-9090

Other names 1

  • Red Rock Oral & Maxillofacial Surgery Centre Doing business as

National Provider Directory

National Provider Directory

Locations

4730 S Fort Apache Rd
Ste 390
Las Vegas, NV 89147
Phone (702) 253-9090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1598946261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 S. FORT APACHE ROAD",
            "address_2": "STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "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": {
        "organization_name": "MARK I DEGEN DDS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "DEGEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "70222539090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "10535",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "10535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Oral & Maxillofacial Surgery Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.