Individual provider Active NPI

John W Orchard, DDS

  • Dentist
  • Santa Maria, CA
National Provider Identifier
1306020219
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D21396 Issued in CA
Practice address
210 S Palisade Dr
Suite 205
Santa Maria, CA 93454-8901
Phone
(805) 925-9501
Fax
(805) 925-2111
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D21396 CA Primary

Addresses

Primary practice location

210 S Palisade Dr
Suite 205
Santa Maria, CA 93454-8901

Mailing address

210 S Palisade Dr
Suite 205
Santa Maria, CA 93454-8901
Phone (805) 925-9501

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
D21396CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1306020219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR",
            "address_2": "SUITE 205",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548901",
            "telephone_number": "805-925-9501",
            "fax_number": "805-925-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR",
            "address_2": "SUITE 205",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548901",
            "telephone_number": "805-925-9501",
            "fax_number": "805-925-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCHARD",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.