Organization Active NPI

Davis Costes DDS Dental Practice

  • Dental Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1336734516
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVIS COSTES DDS DENTAL PRACTICE
Practice address
426 Barcellus Ave Ste 204
Santa Maria, CA 93454-6927
Phone
(805) 937-6328
Fax
(805) 937-0205
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mark Costes, DDS
Title
Owner/Dentist
Phone
(805) 937-6328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

426 Barcellus Ave Ste 204
Santa Maria, CA 93454-6927

Mailing address

426 Barcellus Ave Ste 204
Santa Maria, CA 93454-6927
Phone (805) 937-6328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1336734516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BARCELLUS AVE STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546927",
            "telephone_number": "805-937-6328",
            "fax_number": "805-937-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BARCELLUS AVE STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546927",
            "telephone_number": "805-937-6328",
            "fax_number": "805-937-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COSTES DDS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "COSTES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "805-937-6328",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Mar 9, 2021; 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.