What is Mark Bodenheim's NPI number?

Mark Bodenheim's National Provider Identifier (NPI) is 1417914565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Bodenheim's specialty?

Mark Bodenheim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Mark Bodenheim located?

Mark Bodenheim's practice location on file with NPPES is 2410 Stanley Rd, Fort Sam Houston, TX 78234-7529.

What is Mark Bodenheim's phone number?

The practice phone number listed in the NPPES registry for Mark Bodenheim is (210) 295-2743.

Is Mark Bodenheim's NPI active?

Yes — Mark Bodenheim's NPI (1417914565) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Bodenheim, DDS

NPI 1417914565 · General Practice Dentistry · Fort Sam Houston, TX

Mark Bodenheim, DDS is a General Practice Dentistry provider in Fort Sam Houston, TX (NPI 1417914565).

Provider details

NPI number: 1417914565
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
License: DN008749 (GA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DN008749 (GA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

2410 Stanley Rd

Suite 200j

Fort Sam Houston, TX 78234-7529

Phone: (210) 295-2743

Fax: (210) 295-2602

Street-level locationGet directions

More TX providers

Mailing address