Active NPI
Mark Curtiss MC Dade, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Camarillo, CA
National Provider Identifier
1700983699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 40856
- Practice address
- 771 E Daily Dr Ste 130
Camarillo, CA 93010-0782 - Phone
- (805) 482-7615
- Fax
- (805) 987-4472
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 27, 2023
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40856 | CA | Primary |
Addresses
Primary practice location
771 E Daily Dr Ste 130
Camarillo, CA 93010-0782
Mailing address
771 E Daily Dr Ste 130
Camarillo, CA 93010-0782
Phone (805) 482-7615
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 C. McDade DMD | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Mark C. MC Dade DMD | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
771 E Daily Dr
Ste 130
Camarillo, CA 93010
Phone (805) 482-7615
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mark C. McDade DMD Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Camarillo, CA
- NPI 1700574068
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Camarillo, CA
- NPI 1710156559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1700983699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 E DAILY DR STE 130",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930100782",
"telephone_number": "805-482-7615",
"fax_number": "805-987-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 E DAILY DR STE 130",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930100782",
"telephone_number": "805-482-7615",
"fax_number": "805-987-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC DADE",
"first_name": "MARK",
"middle_name": "CURTISS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "40856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.