Individual provider Active NPI

Jennifer Koumaras, D.D.S.

  • Pediatric Dentistry
  • Goleta, CA
National Provider Identifier
1235327289
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56221 Issued in CA
Practice address
5901 Encina Rd Ste C1
Goleta, CA 93117-2272
Phone
(805) 967-5671
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 56221 CA Primary

Addresses

Primary practice location

5901 Encina Rd Ste C1
Goleta, CA 93117-2272

Mailing address

5901 Encina Rd Ste C1
Goleta, CA 93117-2272
Phone (805) 967-5671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dzddental@hotmail.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doran Dobranszky DDS Inc CurrentSince Jul 3, 2022 Accepting new patients

Locations

5901 Encina Rd
Ste C1
Goleta, CA 93117
Phone (805) 967-5671

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1235327289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 ENCINA RD STE C1",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172272",
            "telephone_number": "805-967-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ENCINA RD STE C1",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172272",
            "telephone_number": "805-967-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMARAS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dzddental@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5901 Encina Rd Ste C1",
            "city": "Goleta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931172272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 30, 2022; 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.