NPIMap

Organization Active NPI

Mark a Da Re DDS

  • Dentist
  • Santa Barbara, CA
National Provider Identifier
1073046629
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33567 Issued in CA
Legal business name
MARK A DA RE DDS
Practice address
2780 State St
Suite 2
Santa Barbara, CA 93105-5518
Phone
(805) 687-5669
Fax
(805) 687-1529
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark A Da Re, DDSNPI 1538242672
Title
Owner
Phone
(805) 687-5669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33567 CA Primary

Addresses

Primary practice location

2780 State St
Suite 2
Santa Barbara, CA 93105-5518

Mailing address

2780 State St
Suite 2
Santa Barbara, CA 93105-5518
Phone (805) 687-5669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1073046629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 STATE ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055518",
            "telephone_number": "805-687-5669",
            "fax_number": "805-687-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 STATE ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055518",
            "telephone_number": "805-687-5669",
            "fax_number": "805-687-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A DA RE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "DA RE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-687-5669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.