Active NPI
Jonathan David King, DDS
- Dentist
- Santa Barbara, CA
National Provider Identifier
1669421095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57084
- Practice address
- 2959 State St
Santa Barbara, CA 93105-3417 - Phone
- (805) 687-1548
- Fax
- (805) 682-7230
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 | 6259 | NE | |
| Dentist | 122300000X | 57084 | CA | Primary |
Addresses
Primary practice location
2959 State St
Santa Barbara, CA 93105-3417
Mailing address
2959 State St
Santa Barbara, CA 93105-3417
Phone (805) 687-1548
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 |
|---|---|---|---|
| 57084 | CA | MD | Dentist |
| 6259 | NE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1669421095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053417",
"telephone_number": "805-687-1548",
"fax_number": "805-682-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053417",
"telephone_number": "805-687-1548",
"fax_number": "805-682-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6259",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57084",
"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 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.