OrganizationActive
Mark A.herzog
NPI 1487992004 · Dentist · Ellsworth, KS
Provider details
- NPI number
- 1487992004
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mark Herzog, President(785) 472-5420
- License
- 6269 (KS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
804 E 8th St
Ellsworth, KS 67439-2535
Phone: (785) 472-5420
Fax: (785) 472-8995
Street-level locationGet directions
Mailing address
804 E 8th St
Ellsworth, KS 67439-2535
Registry dates
- Enumerated
- 2013-01-17
- Last updated
- 2013-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.