Mark A Costes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5634 Issued in AZ

Practice address

432 Butterfield Rd
Chino Valley, AZ 86323-5613

Phone

(928) 636-1565

Fax

(928) 636-1164

NPI assigned

Jul 30, 2007

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Dental Group LLC

  • General Practice Dentistry
  • Chino Valley, AZ
  • NPI 1457419327
  Authorized official Same address or phone
• Horizon Dental Group New River

  • Dentist
  • New River, AZ
  • NPI 1770015992
  NPD (past) Authorized official
• Horizon Dental Group Spring Valley

  • Dentist
  • Spring Valley, AZ
  • NPI 1063969046
  NPD (past) Authorized official
• Horizon Dental Group West Valley

  dba Gentle Touch Family Dental Care

  • Dentist
  • Phoenix, AZ
  • NPI 1770022923
  Authorized official Same address or phone
• Prescott Valley PDC PLLC

  dba Horizon Dental

  • General Practice Dentistry
  • Prescott Valley, AZ
  • NPI 1720827652
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1932399680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BUTTERFIELD RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235613",
            "telephone_number": "928-636-1565",
            "fax_number": "928-636-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BUTTERFIELD RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235613",
            "telephone_number": "928-636-1565",
            "fax_number": "928-636-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTES",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5634",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "6359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chino Valley Unified School District
• Philana Cicolello
• CL DDS PLLC
• April Rae Clark
• Kiley Lynn Comley, ATC, LAT
• Laura Brooke Covey, EMT
• Shelly Lynn Crossman, MSN, FNP-C
• Savannah Crowder
• David V Curtis, RPT
• Janet Dahlquist

• General Practice Dentistry in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.