Active NPI
David Bentley
- Podiatrist
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5328
- Practice address
- 2801 Santa Maria Way
Santa Maria, CA 93455-2118 - Phone
- (805) 934-5400
- Fax
- (805) 938-9207
- NPI assigned
- Jun 30, 2014
- Last updated
- Jun 18, 2021
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 17944-875 | WI | |
| Podiatrist | 213E00000X | 5328 | CA | Primary |
Addresses
Primary practice location
2801 Santa Maria Way
Santa Maria, CA 93455-2118
Mailing address
2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Medical Center
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Suite 110
Bettendorf, IA 52722-1644
Phone (563) 742-5100
500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 164 |
| Removal of nail tissue | 89 |
| Removal or shaving of skin growth | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17944-875 | WI | MD | Podiatrist |
| 5328 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Santa Maria, CA 93455
Phone (805) 934-5400
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644
4480 Utica Ridge Rd
Ste 110
Bettendorf, IA 52722
Phone (563) 340-3095
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
2570 24th St
Ste 124
Rock Island, IL 61201
Phone (309) 779-3670
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- dbentley917276@direct.unitypoint.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Templeton, CA
- NPI 1851318638
-
dba Community Health Centers Cambria
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1750796660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S BLOSSER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587310",
"telephone_number": "805-361-8030",
"fax_number": "805-361-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 SANTA MARIA WAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934552118",
"telephone_number": "805-934-5400",
"fax_number": "805-938-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "17944-875",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "5328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.