Individual provider Active NPI

Mark Edward Thomas, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1538359377
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36117 Issued in CA
Practice address
3500 Truxtun Avenue
Suite a, Suite B
Bakersfield, CA 93301-3018
Phone
(661) 327-7668
Fax
(661) 407-8380
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36117 CA Primary

Addresses

Primary practice location

3500 Truxtun Avenue
Suite a, Suite B
Bakersfield, CA 93301-3018

Mailing address

3500 Truxtun Avenue
Suite a, Suite B
Bakersfield, CA 93301-3018
Phone (661) 327-7668

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001740 CA Order and Referring Only - DentistPractitioner - Dentist 9830498997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36117CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harsh Patwari DMD, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Me Thomas Dental Corp General Practice CurrentSince May 17, 2020 Accepting new patients

Locations

3500 Truxtun Ave
Ste A
Bakersfield, CA 93301
Phone (661) 327-7668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1538359377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 TRUXTUN AVENUE",
            "address_2": "SUITE A, SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013018",
            "telephone_number": "661-327-7668",
            "fax_number": "661-407-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 TRUXTUN AVENUE",
            "address_2": "SUITE A, SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013018",
            "telephone_number": "661-327-7668",
            "fax_number": "661-407-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.