Active NPI
Eric Michael George, DMD
- General Practice Dentistry
- Santa Ynez, CA
National Provider Identifier
1215419098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103165
- Practice address
- 90 Via Juana Rd
Santa Ynez, CA 93460-9679 - Phone
- (805) 688-7070
- Fax
- (805) 686-2060
- NPI assigned
- Aug 29, 2018
- Last updated
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 103165 | CA | Primary |
Addresses
Primary practice location
90 Via Juana Rd
Santa Ynez, CA 93460-9679
Mailing address
PO Box 539
Santa Ynez, CA 93460-0539
Phone (805) 688-7070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103165 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Ynez Band of Mission Indians | Past | Accepting new patients |
Interoperability endpoints
- eric.george.p1@direct.sythc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Santa Ynez Tribal Health Clinic
- Federally Qualified Health Center (FQHC)
- Santa Ynez, CA
- NPI 1992779417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1215419098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 539",
"city": "SANTA YNEZ",
"state": "CA",
"postal_code": "934600539",
"telephone_number": "805-688-7070",
"fax_number": "805-686-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 VIA JUANA RD",
"city": "SANTA YNEZ",
"state": "CA",
"postal_code": "934609679",
"telephone_number": "805-688-7070",
"fax_number": "805-686-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ynez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.