Active NPI
Davis Costes DDS Dental Practice
- Dental Clinic/Center
- Santa Maria, CA
National Provider Identifier
1336734516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Santa Maria, CA
- NPI 1588017107
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.