Dwayne Arthur Elder, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

35714 Issued in CA

Practice address

3669 Sagunto St
Ste. 102
Santa Ynez, CA 93460-9151

Phone

(805) 693-1414

Fax

(805) 693-8006

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154420701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "SANTA YNEZ",
            "state": "CA",
            "postal_code": "934601013",
            "telephone_number": "805-693-1414",
            "fax_number": "805-693-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 SAGUNTO ST",
            "address_2": "STE. 102",
            "city": "SANTA YNEZ",
            "state": "CA",
            "postal_code": "934609151",
            "telephone_number": "805-693-1414",
            "fax_number": "805-693-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "DWAYNE",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Dankemeyer, DDS
• Faith Anne Deeter, MFT
• Nina Angela Downie, MPT
• Christine Ann Duis, PHD
• Deborah E Eckles, RN
• Mary Worrall Gallegos, RN, BSN, CHPN, PHN
• Eric Michael George, DMD
• James Edgar Hazard Jr., DC
• Herbert M Janklow, MD a Professional Corporation
• Herbert Michael Janklow, MD

• All providers in Santa Ynez, CA
• Dentist in California

• 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.