NPIMap

Organization Active NPI

Perikis T. Proussaefs D D S M S a Professinal Corporation

Doing business as Pacific View Dental Group

  • Dental Clinic/Center
  • Ventura, CA
National Provider Identifier
1528516606
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERIKIS T. PROUSSAEFS D D S M S A PROFESSINAL CORPORATION
Doing business as
Pacific View Dental Group
Practice address
3585 Telegraph Rd Ste C
Ventura, CA 93003-3476
Phone
(805) 676-1611
NPI assigned
Sep 16, 2016
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Periklis T ProussaefsNPI 1316077498
Title
Owner
Phone
(805) 676-1611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Dentist 122300000X NU

Addresses

Primary practice location

3585 Telegraph Rd Ste C
Ventura, CA 93003-3476

Mailing address

3585 Telegraph Rd
Ventura, CA 93003-3449
Phone (805) 676-1611

Other names 1

  • Pacific View Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3585 Telegraph Rd
Ventura, CA 93003

3585 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 676-1063

3585 Telegraph Rd
Ste C
Ventura, CA 93003
Phone (805) 676-1611

Practitioners & affiliated clinicians

Practitioners 2

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1528516606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033449",
            "telephone_number": "805-676-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 TELEGRAPH RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033476",
            "telephone_number": "805-676-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIKIS T. PROUSSAEFS D D S M S A PROFESSINAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "PROUSSAEFS",
        "authorized_official_first_name": "PERIKLIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-676-1611"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific View Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2020; 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.