Individual provider Active NPI

Craig Timothy Downen, D.D.S.

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1629294434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24285 Issued in CA
Practice address
1165 Coast Village Rd
Suite I
Santa Barbara, CA 93108-2747
Phone
(805) 565-9837
Fax
(805) 565-9831
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 24285 CA Primary

Addresses

Primary practice location

1165 Coast Village Rd
Suite I
Santa Barbara, CA 93108-2747

Mailing address

1165 Coast Village Rd
Suite I
Santa Barbara, CA 93108-2747
Phone (805) 565-9837

Other identifiers 1

IdentifierTypeStateIssuer
24285OtherCADENTIST

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
24285CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629294434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 COAST VILLAGE RD",
            "address_2": "SUITE I",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082747",
            "telephone_number": "805-565-9837",
            "fax_number": "805-565-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 COAST VILLAGE RD",
            "address_2": "SUITE I",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082747",
            "telephone_number": "805-565-9837",
            "fax_number": "805-565-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEN",
        "first_name": "CRAIG",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "24285",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.