Organization Active NPI

Steven C. Greenman, D.D.S., Inc.

  • Dental Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1053642181
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
29903 Issued in CA
Legal business name
STEVEN C. GREENMAN, D.D.S., INC.
Practice address
1240 S Westlake Blvd
Suite 223
Westlake Village, CA 91361-1929
Phone
(805) 496-9555
Fax
(805) 497-2541
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Steven C. Greenman, D.D.S.NPI 1720219876
Title
President/Owner
Phone
(805) 496-9555

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
Dental Clinic/Center 261QD0000X 29903 CA Primary

Addresses

Primary practice location

1240 S Westlake Blvd
Suite 223
Westlake Village, CA 91361-1929

Mailing address

3056 Three Springs Dr
Suite 223
Westlake Village, CA 91361-5581
Phone (805) 496-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100216000524 CA Part B Supplier - Clinic/Group Practice 0840334769 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA
O20100930010020 CA DME Supplier - Oral Surgery - Dentist 0840334769 Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

1240 S Westlake Blvd
Ste 223
Westlake Vlg, CA 91361
Phone (805) 496-9555

1240 S Westlake Blvd
Ste 101
Westlake Vlg, CA 91361
Phone (805) 358-1002

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": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1053642181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 THREE SPRINGS DR",
            "address_2": "SUITE 223",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615581",
            "telephone_number": "805-496-9555",
            "fax_number": "805-497-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 223",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-496-9555",
            "fax_number": "805-497-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C. GREENMAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "GREENMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-496-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "29903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.