Individual provider Active NPI

Robert Jeffrey McCoy, D.D.S.

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1134594237
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65283 Issued in CA
Practice address
2359 E Thompson Blvd
Ventura, CA 93003-2701
Phone
(805) 585-2249
NPI assigned
Dec 1, 2015
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 65283 CA Primary

Addresses

Primary practice location

2359 E Thompson Blvd
Ventura, CA 93003-2701

Mailing address

4842 Aurora Dr
Ventura, CA 93003-3902
Phone (805) 794-8721

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

State licenses

LicenseStateTypeSpecialty
65283CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McCoy Dental, Inc. General Practice Current Accepting new patients

Locations

2359 E Thompson Blvd
Ventura, CA 93003
Phone (805) 585-2249

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, 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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1134594237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 AURORA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033902",
            "telephone_number": "805-794-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 E THOMPSON BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032701",
            "telephone_number": "805-585-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.