Active NPI
Aaron Brian Pitts, DMD
- Student in an Organized Health Care Education/Training Program
- Pine Valley, CA
National Provider Identifier
1174840284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 39020000X
- Practice address
- 28914 Old Hwy 80
Suite 104
Pine Valley, CA 91962 - Phone
- (619) 473-8735
- Fax
- (619) 473-8625
- NPI assigned
- Apr 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 39020000X | CA | Primary |
Addresses
Primary practice location
28914 Old Hwy 80
Suite 104
Pine Valley, CA 91962
Mailing address
PO Box 839
28914 Old Hwy 80 Suite 104
Pine Valley, CA 91962
Phone (619) 473-8735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209002022 | CA | Order and Referring Only - Dentist | 3779887997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39020000X | CA | MD | Clinical Social Worker |
| 60347 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron B. Pitts, DMD Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Pine Valley, CA
- NPI 1952863219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1174840284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"address_2": "28914 OLD HWY 80 SUITE 104",
"city": "PINE VALLEY",
"state": "CA",
"postal_code": "91962",
"telephone_number": "619-473-8735",
"fax_number": "619-473-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28914 OLD HWY 80",
"address_2": "SUITE 104",
"city": "PINE VALLEY",
"state": "CA",
"postal_code": "91962",
"telephone_number": "619-473-8735",
"fax_number": "619-473-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "AARON",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-28",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "39020000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.