Individual provider Active NPI

Shawn L Hlavaty, D.D.S.

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1427382803
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58895 Issued in CA
Practice address
195 Hot Springs Rd
Santa Barbara, CA 93108-2403
Phone
(805) 455-2917
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58895 CA Primary

Addresses

Primary practice location

195 Hot Springs Rd
Santa Barbara, CA 93108-2403

Mailing address

195 Hot Springs Rd
Santa Barbara, CA 93108-2403
Phone (805) 455-2917

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
I20150707003259 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234441080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58895CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1427382803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HOT SPRINGS RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082403",
            "telephone_number": "805-455-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOT SPRINGS RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082403",
            "telephone_number": "805-455-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAVATY",
        "first_name": "SHAWN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.