Active NPI
Gregory Abraham Stern, D.D.S.
- Dentist
- Westwood, CA
National Provider Identifier
1003044496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44780
- Practice address
- 10921 Wilshire Boulevard, Suite 1201
Westwood, CA 90024 - Phone
- (310) 453-1500
- Fax
- (310) 445-1580
- NPI assigned
- Jun 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 44780 | CA | Primary |
Addresses
Primary practice location
10921 Wilshire Boulevard, Suite 1201
Westwood, CA 90024
Mailing address
10921 Wilshire Boulevard, Suite 1201
Westwood, CA 90024
Phone (310) 453-1500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1003044496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BOULEVARD, SUITE 1201",
"city": "WESTWOOD",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-453-1500",
"fax_number": "310-445-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BOULEVARD, SUITE 1201",
"city": "WESTWOOD",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-453-1500",
"fax_number": "310-445-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "GREGORY",
"middle_name": "ABRAHAM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.