Mark K Batesole, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

45821 Issued in CA

Practice address

178 S Victoria Ave Ste C
Ventura, CA 93003-4369

Phone

(805) 628-2425

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mark K Batesole, DDS, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ventura, CA
  • NPI 1114538253
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1689768137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 BANGOR LN",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013820",
            "telephone_number": "949-374-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S VICTORIA AVE STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034369",
            "telephone_number": "805-628-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATESOLE",
        "first_name": "MARK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bassuk, PSY.D;LCSW
• Gloria Del Carmen Batarse-Santos
• Amy Batcheler, RN, BSN, MSN, CPNP
• Elizabeth Rosan Batchelor, O.D.
• Bruce Wallace Bates, MFT
• Nicole Mary Batinich, B.A GENERAL PSYCH
• Andrea Oliver Battaglia, MFT
• Sandra Bauer Moe
• Graciella Noel Baum
• Alyssa Baumbach

• Orthodontics and Dentofacial Orthopedics Dentistry in Ventura, CA
• Providers in Ventura, 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 Aug 13, 2020; 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.