Active NPI
Mark Karakourtis, D.D.S.
- Oral & Maxillofacial Surgery (D.M.D.)
- West Lake Hills, TX
National Provider Identifier
1932320967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- L5003
- Practice address
- 5656 Bee Cave Rd
Suite C102
West Lake Hills, TX 78746-5280 - Phone
- (512) 327-9933
- Fax
- (512) 327-9944
- NPI assigned
- May 1, 2007
- Last updated
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 15919 | TX | |
| Surgical Oncology Physician | 2086X0206X | L5003 | TX | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | L5003 | TX | Primary |
Addresses
Primary practice location
5656 Bee Cave Rd
Suite C102
West Lake Hills, TX 78746-5280
Mailing address
7517 Cameron Rd
Suite 107
Austin, TX 78752-2057
Phone (512) 371-1222
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160714001128 | TX | Order and Referring Only - Dentist | 8022073758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5003 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carus Dental PC | Past | Accepting new patients | |
| Carus Dental PC | Past | Accepting new patients | |
| Carus Dental PC | Past | Accepting new patients | |
| Innovative Physicians | Past | Accepting new patients | |
| Texas Oral Maxillofacial Surgery Associates, PLLC | Past | Accepting new patients | |
| Carus Dental | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Austin, TX
- NPI 1821341660
-
dba Carus Surgical Center Round Rock
- Oral and Maxillofacial Surgery (Dentist)
- Round Rock, TX
- NPI 1114477353
-
dba Carus Dental - Woodlands
- General Practice Dentistry
- The Woodlands, TX
- NPI 1316027063
-
- Family Medicine Physician
- West Lake Hills, TX
- NPI 1780969097
-
- Oral and Maxillofacial Surgery (Dentist)
- West Lake Hills, TX
- NPI 1821219866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1932320967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON RD",
"address_2": "SUITE 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787522057",
"telephone_number": "512-371-1222",
"fax_number": "512-371-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 BEE CAVE RD",
"address_2": "SUITE C102",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465280",
"telephone_number": "512-327-9933",
"fax_number": "512-327-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAKOURTIS",
"first_name": "MARK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "15919",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "L5003",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "L5003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.