Active NPI
Mark Poitras, DDS
- Dentist
- Newhall, CA
National Provider Identifier
1659470243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31515
- Practice address
- 19310 Avenue of the Oaks
Newhall, CA 91321-1476 - Phone
- (661) 251-0700
- Fax
- (661) 251-2089
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31515 | CA | Primary |
Addresses
Primary practice location
19310 Avenue of the Oaks
Newhall, CA 91321-1476
Mailing address
19310 Avenue of the Oaks
Newhall, CA 91321-1476
Phone (661) 251-0700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark a. Poitras, DDS, Inc. | Past | Accepting new patients | |
| Hakam Al-Samarrai Dental Inc | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Newhall, CA
- NPI 1538268024
-
- Dental Clinic/Center
- Newhall, CA
- NPI 1750938221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659470243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19310 AVENUE OF THE OAKS",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913211476",
"telephone_number": "661-251-0700",
"fax_number": "661-251-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19310 AVENUE OF THE OAKS",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913211476",
"telephone_number": "661-251-0700",
"fax_number": "661-251-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POITRAS",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.