Active NPI
Mark K Batesole, DDS, Ms, Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ventura, CA
National Provider Identifier
1114538253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MARK K BATESOLE, DDS, MS, INC
- Practice address
- 178 S Victoria Ave Ste C
Ventura, CA 93003-4369 - Phone
- (805) 628-2425
- NPI assigned
- Aug 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Kenneth Batesole, DDS, MS
- Title
- President
- Phone
- (805) 628-2425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
178 S Victoria Ave Ste C
Ventura, CA 93003-4369
Mailing address
1055 Bangor LN
Ventura, CA 93001-3820
Phone (949) 374-6458
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ventura, CA
- NPI 1689768137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1114538253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 BANGOR LN",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013820",
"telephone_number": "949-374-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 S VICTORIA AVE STE C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034369",
"telephone_number": "805-628-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK K BATESOLE, DDS, MS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "BATESOLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-628-2425",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.