Organization Active NPI

Walter C Dukes DDS a Professional Corporation

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1780932905
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27426 Issued in CA
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

Updated by the provider on Oct 2, 2012

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.NPI 1306972666
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20121017000790 CA DME Supplier - Oral Surgery - Dentist 3375793946 Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.