Active NPI
Walter C Dukes DDS a Professional Corporation
- General Practice Dentistry
- Santa Barbara, CA
National Provider Identifier
1780932905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27426
- Legal business name
- WALTER C DUKES DDS A PROFESSIONAL CORPORATION
- Practice address
- 1809 Cliff Dr
Suite D
Santa Barbara, CA 93109-1641 - Phone
- (805) 963-1222
- Fax
- (805) 730-9224
- NPI assigned
- Aug 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter C Dukes, D.D.S.
- Title
- Dentist
- Phone
- (805) 963-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27426 | CA | Primary |
Addresses
Primary practice location
1809 Cliff Dr
Suite D
Santa Barbara, CA 93109-1641
Mailing address
1809 Cliff Dr
Suite D
Santa Barbara, CA 93109-1641
Phone (805) 963-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121017000790 | CA | DME Supplier - Oral Surgery - Dentist | 3375793946 | Practice locations: Santa Barbara, CA |
National Provider Directory
National Provider DirectoryLocations
1809 Cliff Dr
Ste B
Santa Barbara, CA 93109
Phone (805) 869-1729
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Santa Barbara, CA
- NPI 1306972666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1780932905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 CLIFF DR",
"address_2": "SUITE D",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931091641",
"telephone_number": "805-963-1222",
"fax_number": "805-730-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 CLIFF DR",
"address_2": "SUITE D",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931091641",
"telephone_number": "805-963-1222",
"fax_number": "805-730-9224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER C DUKES DDS A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-20",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "DUKES",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "805-963-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27426",
"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 Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.