Mark Medinnus, DDS
NPI 1003065988 · General Practice Dentistry · Fort Jones, CA
Enrolled with Medicare as Order and Referring Only - Other (non-Physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Medinnus, DDS is a General Practice Dentistry provider in Fort Jones, CA (NPI 1003065988).
Provider details
- NPI number
- 1003065988
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 33630 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2016-03-19
Frequently asked questions
- What is Mark Medinnus's NPI number?
- Mark Medinnus's National Provider Identifier (NPI) is 1003065988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Medinnus's specialty?
- Mark Medinnus is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Medinnus located?
- Mark Medinnus's practice location on file with NPPES is 9024 Sniktaw Ln, Fort Jones, CA 96032-9408.
- What is Mark Medinnus's phone number?
- The practice phone number listed in the NPPES registry for Mark Medinnus is (530) 468-4470.
- Does Mark Medinnus accept Medicare?
- Mark Medinnus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Medinnus's NPI active?
- Yes — Mark Medinnus's NPI (1003065988) is active in the NPPES registry as of the last update on 2016-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.