Marc Ausubel, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12333 Issued in CA

Practice address

100 N Palm St
Woodlake, CA 93286-1423

Phone

(559) 561-1113

Fax

(559) 802-5706

NPI assigned

Feb 2, 2007

Last updated

Sep 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: mausubel@direct.westerndental.com

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1275671828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45429 SIERRA DR",
            "city": "THREE RIVERS",
            "state": "CA",
            "postal_code": "932719709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PALM ST",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861423",
            "telephone_number": "559-561-1113",
            "fax_number": "559-802-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSUBEL",
        "first_name": "MARC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humam Alosh, MD
• Paul F. Ayson, D.D.S.
• Raymond M. Benton, FNP
• Deborah J. Bird, N.P.
• Jamie Nhung Bui
• Jose Luis Campos, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodlake, CA
• Providers in Woodlake, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.