Individual provider Active NPI

Ryan John Coon, D.D.S.

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1902467475
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110312 Issued in CA
Practice address
3906 State St Ste 103
Santa Barbara, CA 93105-3114
Phone
(805) 687-6767
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35208 TX
General Practice Dentistry 1223G0001X 110312 CA Primary

Addresses

Primary practice location

3906 State St Ste 103
Santa Barbara, CA 93105-3114

Mailing address

806 Orange Ave
Santa Barbara, CA 93101-4419
Phone (515) 210-8025

Other practice location 1

10601 Ranch Road 2222 Ste S
Austin, TX 78730-1134
Phone (512) 428-6554

Other practice location 2

8430 Spicewood Springs Rd
Austin, TX 78759-6051
Phone (512) 506-9889

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110312CAMDGeneral Practice Dentistry
35208TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1902467475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ORANGE AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014419",
            "telephone_number": "515-210-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 STATE ST STE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053114",
            "telephone_number": "805-687-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10601 Ranch Road 2222 Ste S",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787301134",
            "country_code": "US",
            "telephone_number": "512-428-6554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Spicewood Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787596051",
            "country_code": "US",
            "telephone_number": "512-506-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35208",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110312",
            "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 Jul 18, 2024; 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.