Individual provider Active NPI

Mark Fagin-Hutchings, D.D.S., M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Ana, CA
National Provider Identifier
1982772737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1223X0400X Issued in CA
Practice address
2701 W First St #15
Santa Ana, CA 92703
Phone
(714) 480-3085
Fax
(714) 895-1368
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1223X0400X CA Primary

Addresses

Primary practice location

2701 W First St #15
Santa Ana, CA 92703

Mailing address

303 32ND St
Newport Beach, CA 92663-3127
Phone (949) 554-4434

Other names 1

  • Dr. Mark Fagin Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1223X0400XCAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fagin Dental Corporation Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mfagin.hutchings@direct.westerndental.com

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982772737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 32ND ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633127",
            "telephone_number": "949-554-4434",
            "fax_number": "949-566-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W FIRST ST #15",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92703",
            "telephone_number": "714-480-3085",
            "fax_number": "714-895-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIN-HUTCHINGS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "1223X0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "FAGIN",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.