Individual provider Active NPI

Brian Gottlieb, D.D.S.

  • General Practice Dentistry
  • Westlake Village, CA
National Provider Identifier
1609286426
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63166 Issued in CA
Practice address
5784 Lindero Canyon Rd
Suite B
Westlake Village, CA 91362-4088
Phone
(818) 706-0131
Fax
(818) 706-0151
NPI assigned
May 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63166 CA Primary

Addresses

Primary practice location

5784 Lindero Canyon Rd
Suite B
Westlake Village, CA 91362-4088

Mailing address

5784 Lindero Canyon Rd
Suite B
Westlake Village, CA 91362-4088
Phone (818) 706-0131

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
63166CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patel and Huss Dental Corporation 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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1609286426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 LINDERO CANYON RD",
            "address_2": "SUITE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624088",
            "telephone_number": "818-706-0131",
            "fax_number": "818-706-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 LINDERO CANYON RD",
            "address_2": "SUITE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624088",
            "telephone_number": "818-706-0131",
            "fax_number": "818-706-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63166",
            "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 May 1, 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.