Individual provider Active NPI

Michael D. Carley, D.D.S.

  • Dentist
  • Santa Barbara, CA
National Provider Identifier
1386859379
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54456 Issued in CA
Practice address
122 S Patterson Ave
Suite 115
Santa Barbara, CA 93111-2055
Phone
(805) 967-5010
NPI assigned
May 11, 2007
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54456 CA Primary

Addresses

Primary practice location

122 S Patterson Ave
Suite 115
Santa Barbara, CA 93111-2055

Mailing address

2780 State St Ste 6
Santa Barbara, CA 93105-5522
Phone (805) 681-4848

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

LicenseStateTypeSpecialty
54456CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain and River Dental and Associates CurrentSince Aug 8, 2021 Accepting new patients

Locations

2780 State St
Ste 6
Santa Barbara, CA 93105
Phone (805) 681-4848

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1386859379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 STATE ST STE 6",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055522",
            "telephone_number": "805-681-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE",
            "address_2": "SUITE 115",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-967-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54456",
            "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 Jan 26, 2017; 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.