Active NPI
Katherine Elizabeth Travis, DMD
- Dentist
- Goleta, CA
National Provider Identifier
1417828872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS112291
- Practice address
- 164 Kinman Ave
Goleta, CA 93117-3481 - Phone
- (805) 617-7898
- Fax
- (805) 324-5177
- NPI assigned
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS112291 | CA | Primary |
| General Practice Dentistry | 1223G0001X | DDS112291 | CA |
Addresses
Primary practice location
164 Kinman Ave
Goleta, CA 93117-3481
Mailing address
414 E Cota St
Santa Barbara, CA 93101-1624
Phone (805) 617-7857
Other practice location 1
923 N Milpas St
Santa Barbara, CA 93103-2331
Phone (805) 884-1998
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS112291 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients | |
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Santa Barbara, CA
- NPI 1063438232
-
- Dental Clinic/Center
- Santa Barbara, CA
- NPI 1972636835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1417828872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E COTA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931011624",
"telephone_number": "805-617-7857",
"fax_number": "805-618-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 KINMAN AVE",
"city": "GOLETA",
"state": "CA",
"postal_code": "931173481",
"telephone_number": "805-617-7898",
"fax_number": "805-324-5177"
}
],
"practiceLocations": [
{
"address_1": "923 N Milpas St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931032331",
"country_code": "US",
"telephone_number": "805-884-1998",
"fax_number": "805-324-5172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVIS",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS112291",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS112291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.