Active NPI
Martha Plagge Rabkin, DDS
- General Practice Dentistry
- Port Hueneme, CA
National Provider Identifier
1154006013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13438153-9922
- Practice address
- 720 23Rd Ave BLDG 914
Port Hueneme, CA 93043-2722 - Phone
- (760) 719-3236
- NPI assigned
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13438153-9922 | UT | Primary |
Addresses
Primary practice location
720 23Rd Ave BLDG 914
Port Hueneme, CA 93043-2722
Mailing address
10616 Red Barn LN
Potomac, MD 20854-1953
Phone (240) 476-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13438153-9922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1154006013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 RED BARN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541953",
"telephone_number": "240-476-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 23RD AVE BLDG 914",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "930432722",
"telephone_number": "760-719-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABKIN",
"first_name": "MARTHA",
"middle_name": "PLAGGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "13438153-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Hueneme, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.