Justin Sycamore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

59913 Issued in CA

Practice address

777 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-6054

Phone

(805) 777-0050

NPI assigned

Jul 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justin Sycamore DDS

  • Dentist
  • Thousand Oaks, CA
  • NPI 1346643319
  NPD (past) Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1285833442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GALSWORTHY ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605313",
            "telephone_number": "805-908-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606054",
            "telephone_number": "805-777-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYCAMORE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285833442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malorie Botardo Sweeney, MS, RD, CEDS-S
• Barry N. Swerdlow, M.D.
• Gwyndolyn R Swig
• Saleh Asaad Swissa, MD
• Jeffrey L. Sycamore, M.D.
• T. Bury M.D. Inc.
• T&M Interface, Inc. (Always Best Care)
• Saman Tabibnia-Hakakian
• Kamand Taghizadeh
• Michael Tagle, BA

• Dentist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.