Active NPI
Jeffrey Neil Trester, D.D.S.
- General Practice Dentistry
- Ventura, CA
National Provider Identifier
1346276227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26930
- Practice address
- 1601 Eastman Ave.
Suite 105
Ventura, CA 93003-6471 - Phone
- (805) 485-6266
- Fax
- (805) 485-5690
- NPI assigned
- Jun 23, 2006
- 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 | 26930 | CA | Primary |
Addresses
Primary practice location
1601 Eastman Ave.
Suite 105
Ventura, CA 93003-6471
Mailing address
1601 Eastman Ave
Suite 105
Ventura, CA 93003-6481
Phone (805) 658-0232
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26930 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Trees Dental Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Ventura, CA
- NPI 1740667781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1346276227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 EASTMAN AVE",
"address_2": "SUITE 105",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036481",
"telephone_number": "805-658-0232",
"fax_number": "805-850-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 EASTMAN AVE.",
"address_2": "SUITE 105",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036471",
"telephone_number": "805-485-6266",
"fax_number": "805-485-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESTER",
"first_name": "JEFFREY",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "26930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.