Individual provider Active NPI

Lawrence Steven Awbrey, D.D.S.

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1609967173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25860 Issued in CA
Practice address
22949 Ventura Blvd
Suite D
Woodland Hills, CA 91364-1245
Phone
(818) 225-0180
Fax
(818) 225-0185
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

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
Dentist 122300000X 25860 CA Primary

Addresses

Primary practice location

22949 Ventura Blvd
Suite D
Woodland Hills, CA 91364-1245

Mailing address

22949 Ventura Blvd
Suite D
Woodland Hills, CA 91364-1245
Phone (818) 225-0180

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
I20160516001478 CA Order and Referring Only - DentistPractitioner - Dentist 7012206964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609967173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD",
            "address_2": "SUITE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641245",
            "telephone_number": "818-225-0180",
            "fax_number": "818-225-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD",
            "address_2": "SUITE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641245",
            "telephone_number": "818-225-0180",
            "fax_number": "818-225-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWBREY",
        "first_name": "LAWRENCE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "25860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.