Individual provider Active NPI

Gregory Lee Trnavsky, D.D.S

  • Endodontics
  • Westlake Village, CA
National Provider Identifier
1497971337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
43665 Issued in CA
Practice address
1240 S Westlake Blvd Ste 131
Westlake Village, CA 91361-1932
Phone
(805) 494-3772
Fax
(805) 494-3197
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 43665 CA Primary

Addresses

Primary practice location

1240 S Westlake Blvd Ste 131
Westlake Village, CA 91361-1932

Mailing address

1240 S Westlake Blvd Ste 131
Westlake Village, CA 91361-1932
Phone (805) 494-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828002051 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810203338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43665CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Pokras & Trnavsky, a Calif. Dental Corporation Endodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497971337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD STE 131",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611932",
            "telephone_number": "805-494-3772",
            "fax_number": "805-494-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD STE 131",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611932",
            "telephone_number": "805-494-3772",
            "fax_number": "805-494-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRNAVSKY",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "43665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.