DR. MARK C. WESTON (DDS) – Dentist, NPI 1114016250
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK C. WESTON (DDS)
517 W 100 N STE 210
PROVIDENCE, UT 843329826
Phone: (435) 755-6061
Fax: (435) 994-8362
Type: Mailing
5000, Blackmore Road, Casper, Natrona County, Wyoming, 82609, United States
CASPER, WY 826093345
Phone: (307) 233-6000
Fax: (307) 233-6089
Type: Location
1515 N 400 E Ste 104
North Logan, UT 843417595
Phone: (435) 755-6061
Fax: (435) 946-8215
Type: Location
5 W 200 N
Brigham City, UT 843022109
Phone: (435) 723-7999
Fax: (435) 723-7331
Type: Location
152 S 4th St
Montpelier, ID 832541538
Phone: (208) 847-2108
Fax: (208) 847-2109
Type: Location
325 W LOGAN RD
GARDEN CITY, UT 840287754
Phone: (435) 946-3660
Fax: (435) 946-8215
Type: Location
Afton Post Office, 31st Street South, Afton, Washington County, Minnesota, 55001, United States
AFTON, WY 831101455
Phone: (307) 885-4355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210901002125 | I | Dentist | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84332)
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