Mark Schlam, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D11406 Issued in OR

Practice address

1893 NE Neff Rd
Bend, OR 97701-6112

Phone

(617) 699-3554

NPI assigned

Aug 19, 2014

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 15, 2021 through Jun 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Facial and Oral Surgery Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
  • NPI 1801483318
  NPD
• Todd a Schock PC DMD MD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bend, OR
  • NPI 1285744573
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1750780441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "617-699-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "617-699-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAM",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D11406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mark Schill, D.C.
• Sierra Dawn Schipper, RDH
• Osvaldo A. Schirripa, M.D.
• Mary J Schlaefer
• Kimberly Kocak Schlam, DMD
• Craig W. Schlarb
• Michael K Schlepp, M.D.
• Alexander John Schlitt, DO
• David T Schloesser, M.D.
• Michael C Schlossberg, MD

• Oral and Maxillofacial Surgery (Dentist) in Bend, OR
• Providers in Bend, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.