Individual provider Active NPI

Dale Herman Vankirk, M.D.

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1669622593
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G38376 Issued in CA
Practice address
401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
Fax
(805) 563-0998
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G38376 CA Primary

Addresses

Primary practice location

401 E Carrillo St
Santa Barbara, CA 93101-1460

Mailing address

3435 Rancho Vista CT
Gilroy, CA 95020-9412
Phone (408) 848-3255

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38376CAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1669622593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 RANCHO VISTA CT",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950209412",
            "telephone_number": "408-848-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKIRK",
        "first_name": "DALE",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G38376",
            "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 Sep 29, 2008; 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.