Mark a Da Re DDS

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

Organization subpart

No

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

Authorized official

Name

Mark A Da Re, DDS

Title

Owner

Phone

(805) 687-5669

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Hambleton

  • Dentist
  • Santa Barbara, CA
  • NPI 1588399620
  NPD (past)
• Christopher L Mjelde, DMD

  • General Practice Dentistry
  • Santa Barbara, CA
  • NPI 1235217274
  NPD (past)

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": []
}

• John George Mardiat, M.D.
• Maria Dealba LMFT
• Mariela Marin, MFT INTERN
• Mariposas Project
• Mariposas Project, Inc.
• Mark D Wilson, MD Inc
• Mark Weiser DDS Inc
• Kateryna Markova, M.D.
• Suzanne Marlow, LMFT
• Ronald R Marotto, RPH

• Dentist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dentist in California

• 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.