Individual provider Active NPI

Dennis B Kottler, MD

  • Psychiatry Physician
  • Westlake Village, CA
National Provider Identifier
1669514972
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G38830 Issued in CA
Practice address
31822 Village Center Rd
Suite 203
Westlake Village, CA 91361-4330
Phone
(818) 991-8376
Fax
(818) 879-1187
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Psychiatry Physician 2084P0800X G38830 CA Primary

Addresses

Primary practice location

31822 Village Center Rd
Suite 203
Westlake Village, CA 91361-4330

Mailing address

31822 Village Center Rd
Suite 203
Westlake Village, CA 91361-4330
Phone (818) 991-8376

Other identifiers 1

IdentifierTypeStateIssuer
00G388300OtherCABLUE SHIELD

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669514972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 203",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614330",
            "telephone_number": "818-991-8376",
            "fax_number": "818-879-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 203",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614330",
            "telephone_number": "818-991-8376",
            "fax_number": "818-879-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTLER",
        "first_name": "DENNIS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G38830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G388300",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.