Individual provider Active NPI

James H Sturgeon III, D.D.S.

  • General Practice Dentistry
  • Goleta, CA
National Provider Identifier
1144430372
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032400 Issued in CA
Practice address
7127 Hollister Ave
Suite 116
Goleta, CA 93117-2859
Phone
(805) 968-1017
Fax
(805) 968-8126
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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 032400 CA Primary

Addresses

Primary practice location

7127 Hollister Ave
Suite 116
Goleta, CA 93117-2859

Mailing address

7127 Hollister Ave
Suite 116
Goleta, CA 93117-2859
Phone (805) 968-1017

Other identifiers 1

IdentifierTypeStateIssuer
770163526OtherCATAX ID

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
032400CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1144430372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 HOLLISTER AVE",
            "address_2": "SUITE 116",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172859",
            "telephone_number": "805-968-1017",
            "fax_number": "805-968-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 HOLLISTER AVE",
            "address_2": "SUITE 116",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172859",
            "telephone_number": "805-968-1017",
            "fax_number": "805-968-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGEON",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "032400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770163526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.