NPIMap

Organization Active NPI

Frederic V Hepp, DDS, a Professional Dental Corporation

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1861647422
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39964 Issued in CA
Legal business name
FREDERIC V HEPP, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
1805 State St
Suite C
Santa Barbara, CA 93101-8415
Phone
(805) 569-1795
Fax
(805) 569-1469
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Ms. Jill Marie Petersen
Title
Secretary/Office Manager
Phone
(805) 569-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39964 CA Primary

Addresses

Primary practice location

1805 State St
Suite C
Santa Barbara, CA 93101-8415

Mailing address

1805 State St
Suite C
Santa Barbara, CA 93101-8415
Phone (805) 569-1795

National Provider Directory

National Provider Directory

Locations

1805 State St
Ste C
Santa Barbara, CA 93101
Phone (805) 569-1795

Practitioners & affiliated clinicians

Practitioners 5

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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1861647422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STATE ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018415",
            "telephone_number": "805-569-1795",
            "fax_number": "805-569-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 STATE ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018415",
            "telephone_number": "805-569-1795",
            "fax_number": "805-569-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC V HEPP, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/OFFICE MANAGER",
        "authorized_official_telephone_number": "805-569-1795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39964",
            "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 Jun 19, 2013; 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.