Mark E Lobaugh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001829 Issued in WI

Practice address

880 14TH. Street
Baraboo, WI 53913-1540

Phone

(608) 356-6611

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates of Baraboo, S.C.

  • General Practice Dentistry
  • Baraboo, WI
  • NPI 1790747558
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942377940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 14TH ST",
            "address_2": "P.O. BOX 558",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131540",
            "telephone_number": "608-356-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 14TH. STREET",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131540",
            "telephone_number": "608-356-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBAUGH",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Daisy Lehr, RD, CD
• Terese Marie Lemke, RPH
• Jennifer Ann Linderud, SAC
• Saranah Linscott, DO
• Jeannine Liloett Lise, RD CD
• Kenneth G Lobenstein, CSW
• Michelle L Lobenstein, BSSW
• Loretta Lomastro, LMT, EMT-I
• Elizabeth M Lownik, M.D
• Lumen Oral Holdings, LLC (Baxter Dental Center)

• General Practice Dentistry in Baraboo, WI
• Providers in Baraboo, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.