Active NPI
Gary Albert Vangrinsven, D.D.S.
- General Practice Dentistry
- Valencia, CA
National Provider Identifier
1063646289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33529
- Practice address
- 23734 Valencia Blvd
Suite 305
Valencia, CA 91355-2100 - Phone
- (661) 253-2200
- Fax
- (661) 253-2220
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33529 | CA | Primary |
Addresses
Primary practice location
23734 Valencia Blvd
Suite 305
Valencia, CA 91355-2100
Mailing address
25228 Summerhill LN
Stevenson Ranch, CA 91381-2261
Phone (661) 254-0697
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33529 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1063646289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25228 SUMMERHILL LN",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913812261",
"telephone_number": "661-254-0697",
"fax_number": "661-254-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23734 VALENCIA BLVD",
"address_2": "SUITE 305",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552100",
"telephone_number": "661-253-2200",
"fax_number": "661-253-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGRINSVEN",
"first_name": "GARY",
"middle_name": "ALBERT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.