Individual provider Active NPI

Adriana McGregor, D.D.S

  • Periodontics
  • Westlake Village, CA
National Provider Identifier
1245439272
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38330 Issued in CA
Practice address
1240 Westlake Blvd
Suite 125
Westlake Village, CA 91361-1929
Phone
(805) 230-2440
Fax
(805) 230-2442
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 38330 CA Primary

Addresses

Primary practice location

1240 Westlake Blvd
Suite 125
Westlake Village, CA 91361-1929

Mailing address

1240 Westlake Blvd
Suite 125
Westlake Village, CA 91361-1929
Phone (805) 230-2440

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

LicenseStateTypeSpecialty
38330CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1245439272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 WESTLAKE BLVD",
            "address_2": "SUITE 125",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-230-2440",
            "fax_number": "805-230-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WESTLAKE BLVD",
            "address_2": "SUITE 125",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-230-2440",
            "fax_number": "805-230-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREGOR",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "38330",
            "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 11, 2007; 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.