NPIMap

Organization Active NPI

Trevor J. Thomas, D.D.S., Inc.

Doing business as Dentists of Studio City Dental Group

  • Dentist
  • Studio City, CA
National Provider Identifier
1164984316
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TREVOR J. THOMAS, D.D.S., INC.
Doing business as
Dentists of Studio City Dental Group
Practice address
12050 Ventura Blvd Ste C101
Studio City, CA 91604-2639
Phone
(818) 296-9142
Fax
(818) 296-9226
NPI assigned
Apr 4, 2019
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Trevor Thomas, DDS
Title
Owner Dentist
Phone
(818) 296-9142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

12050 Ventura Blvd Ste C101
Studio City, CA 91604-2639

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Dentists of Studio City Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

12050 Ventura Blvd
Ste C101
Studio City, CA 91604
Phone (818) 296-9142

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1164984316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 VENTURA BLVD STE C101",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042639",
            "telephone_number": "818-296-9142",
            "fax_number": "818-296-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR J. THOMAS, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-296-9142",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Studio City Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Studio City Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.