Stephen Irwin Gorlick, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

23312 Issued in CA

Practice address

16133 Ventura Blvd Ste 1230
Encino, CA 91436-2416

Phone

(818) 990-0812

Fax

(818) 990-3312

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 19, 2018 through Jul 19, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093932527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 1230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362416",
            "telephone_number": "818-990-0812",
            "fax_number": "818-990-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 1230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362416",
            "telephone_number": "818-990-0812",
            "fax_number": "818-990-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLICK",
        "first_name": "STEPHEN",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon & Silvers Ods
• Brian Gordon, DC, LAC
• Kristen Rachelle Gordon, PT, DPT
• Mark Lorry Gordon, M.D.
• Gabriel Goren, MD
• Martin Neil Gorman, D.D.S.
• Jeffrey D Goss, D.P.M.
• Barrett Delphine Gottlieb, PMHNP-BC
• Mahnaz Deborah Gozini, DDS
• Graceful Helping Home Health Care

• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.