MARK A PIGNO D.D.S. NPI 1407941065

NPI Information

NPI: 1407941065
Provider Name: MARK A PIGNO, D.D.S.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

PECOS Registration: Yes

Address:
3510 FANNIN STREET
BEAUMONT, TX
ZIP 77701
Phone: (409) 835-5300
Get Directions

Mark A Pigno, D.D.S. is a prosthodontics dentist in Beaumont, TX. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Mark A Pigno, D.D.S. NPI is 1407941065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3510 FANNIN STREET
BEAUMONT, TX
ZIP 77701
Phone: (409) 835-5300

The NPI 1407941065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	4443	LOUISIANA	No
2	204E00000X	Oral & Maxillofacial Surgery		18252	TEXAS	No
3	1223P0700X	Dentist	Prosthodontics	18252	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1892955	MEDICAID	LOUISIANA
2	U57959	MEDICARE UPIN
3	130543507	MEDICAID	TEXAS
4	611273	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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