Individual provider Active NPI

Mark Allen Babbitt, DDS

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1962425454
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43893 Issued in CA
Practice address
3088 Telegraph Rd
Ste. C
Ventura, CA 93003-3234
Phone
(805) 653-1775
Fax
(805) 653-0790
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43893 CA Primary

Addresses

Primary practice location

3088 Telegraph Rd
Ste. C
Ventura, CA 93003-3234

Mailing address

3088 Telegraph Rd
Suite C
Ventura, CA 93003-3234
Phone (805) 653-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160415000703 CA Order and Referring Only - DentistPractitioner - Dentist 0244538247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Babbitt, DDS, Inc. General Practice PastSince May 1, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1962425454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-653-1775",
            "fax_number": "805-653-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD",
            "address_2": "STE. C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033234",
            "telephone_number": "805-653-1775",
            "fax_number": "805-653-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBITT",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.