Individual provider

Mark Baumgartner, DMD , MS

General Practice Dentistry Dentist Medicare enrolled

Mark Baumgartner, DMD , MS is a provider specialising in Dentist in Marshfield, WI, registered under NPI 1265593107. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 306 W. MCMILLAN ST., Marshfield, WI 54449. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

306 W. MCMILLAN ST., Marshfield, WI 54449 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2005037623 MO General Practice Dentistry
6211-15 WI Dentist primary

Licences are recorded in 2 states: MO, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
7911079470
Enrollment ID
I20151218000558

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Missouri and Wisconsin. The practice address on file is in Marshfield, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MO Missouri
Licence
2005037623
Specialty
General Practice Dentistry
Verify with the MO board →
WI Wisconsin practice address
Licence
6211-15
Specialty
Dentist
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dentist covers

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NUCC Health Care Provider Taxonomy, code 122300000X
Dental Providers Dentist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 2005037623 MO
122300000X Dentist 6211-15 WI primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1265593107 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 13, 2006
Last updatedDec 30, 2019
StatusActive
Sole proprietorYes
GenderMale
CredentialDMD , MS
Practice address 306 W. MCMILLAN ST.
Marshfield, WI 54449
(715) 387-1702
Fax (715) 387-8174
Mailing address 306 W. MCMILLAN ST., PO BOX 929
Marshfied, WI 54449
The last update on file is Dec 30, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1265593107 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 6 5 5 9 3 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 3 5 1 9 6 1 0

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1265593107?
NPI 1265593107 is the National Provider Identifier assigned to Mark Baumgartner, DMD , MS in Marshfield, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dentist cover?
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have…
How do I contact Mark Baumgartner, DMD , MS?
The phone number on file with NPPES is (715) 387-1702, last updated Dec 30, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mark Baumgartner, DMD , MS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1265593107 a valid number?
Yes. 1265593107 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.