Individual provider Active NPI

Mark Curtiss MC Dade, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Camarillo, CA
National Provider Identifier
1700983699
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
40856 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Mark C. McDade DMD Orthodontics and Dentofacial Orthopedics CurrentSince Apr 30, 2023 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.

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.

Verify at the official NPI Registry.