Individual provider Active NPI

Walter Claude Dukes, D.D.S.

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1306972666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27426 Issued in CA
Practice address
1809 Cliff Dr
Ste. D
Santa Barbara, CA 93109-1641
Phone
(805) 963-1222
Fax
(805) 730-9224
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27426 CA Primary

Addresses

Primary practice location

1809 Cliff Dr
Ste. D
Santa Barbara, CA 93109-1641

Mailing address

1809 Cliff Dr
Ste. D
Santa Barbara, CA 93109-1641
Phone (805) 963-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170917000005 CA Order and Referring Only - Other (Non-Physician) 4688824154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27426CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter C Dukes DDS a Professional Corporation General Practice CurrentSince Sep 17, 2012 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

1809 Cliff Dr
Ste B
Santa Barbara, CA 93109
Phone (805) 869-1729

1809 Cliff Dr
Ste D
Santa Barbara, CA 93109
Phone (805) 335-6780

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306972666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CLIFF DR",
            "address_2": "STE. D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091641",
            "telephone_number": "805-963-1222",
            "fax_number": "805-730-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CLIFF DR",
            "address_2": "STE. D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091641",
            "telephone_number": "805-963-1222",
            "fax_number": "805-730-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "WALTER",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.