Individual provider Active NPI

Natalie DO, DMD

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1407471048
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104915 Issued in CA
Practice address
3990 Ming Ave
Bakersfield, CA 93309-5005
Phone
(800) 400-3333
NPI assigned
Jun 9, 2020
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104915 CA Primary

Addresses

Primary practice location

3990 Ming Ave
Bakersfield, CA 93309-5005

Mailing address

1050 E Panama LN Unit 80
Bakersfield, CA 93307

Other practice location 1

601 High St Unit A
Delano, CA 93215-2969
Phone (800) 400-3333

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

LicenseStateTypeSpecialty
104915CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie DO, DMD, Inc. Dentist CurrentSince May 7, 2023 Accepting new patients

Locations

3815 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 871-0780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1407471048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E PANAMA LN UNIT 80",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095005",
            "telephone_number": "800-400-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 High St Unit A",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932152969",
            "country_code": "US",
            "telephone_number": "800-400-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.