Active NPI
Daniel Christopher Purdy, DMD
- Pediatric Dentistry
- Santa Barbara, CA
National Provider Identifier
1306864210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 47411
- Practice address
- 504 W Pueblo St
Suite 101
Santa Barbara, CA 93105-6211 - Phone
- (805) 682-9905
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 47411 | CA | Primary |
Addresses
Primary practice location
504 W Pueblo St
Suite 101
Santa Barbara, CA 93105-6211
Mailing address
5397 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (805) 682-9905
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 |
|---|---|---|---|
| 47411 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1306864210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5397 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090641",
"telephone_number": "805-682-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 W PUEBLO ST",
"address_2": "SUITE 101",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931056211",
"telephone_number": "805-682-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "DANIEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "47411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.