Individual provider Active NPI

Eric Walters, DDS

  • Dentist
  • Santa Barbara, CA
National Provider Identifier
1356721807
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63695 Issued in CA
Practice address
200 N la Cumbre Rd
Suite H
Santa Barbara, CA 93110-1577
Phone
(805) 755-4737
Fax
(805) 687-3415
NPI assigned
May 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63695 CA Primary

Addresses

Primary practice location

200 N la Cumbre Rd
Suite H
Santa Barbara, CA 93110-1577

Mailing address

200 N la Cumbre Rd
Suite H
Santa Barbara, CA 93110-1577
Phone (805) 755-4737

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000478 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729309141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69635CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1356721807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LA CUMBRE RD",
            "address_2": "SUITE H",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101577",
            "telephone_number": "805-755-4737",
            "fax_number": "805-687-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LA CUMBRE RD",
            "address_2": "SUITE H",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101577",
            "telephone_number": "805-755-4737",
            "fax_number": "805-687-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.