Organization Active NPI

Mark C. MC Dade DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Camarillo, CA
National Provider Identifier
1710156559
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
40856 Issued in CA
Legal business name
MARK C. MC DADE DMD
Practice address
450 Rosewood Ave
Suite 100
Camarillo, CA 93010-5914
Phone
(805) 482-7615
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Mark Curtiss McDade, DMDNPI 1700983699
Title
Orthodontist
Phone
(805) 482-7615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 40856 CA Primary

Addresses

Primary practice location

450 Rosewood Ave
Suite 100
Camarillo, CA 93010-5914

Mailing address

450 Rosewood Ave
Suite 100
Camarillo, CA 93010-5914
Phone (805) 482-7615

National Provider Directory

National Provider Directory

Locations

450 Rosewood Ave
Ste 100
Camarillo, CA 93010
Phone (805) 482-7615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1710156559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-482-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-482-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. MC DADE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MCDADE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CURTISS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "805-482-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Feb 26, 2008; 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.