Organization Active NPI

Pokras & Trnavsky, a Calif. Dental Corporation

  • Endodontics
  • Simi Valley, CA
National Provider Identifier
1699935643
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
44763 Issued in CA
Legal business name
POKRAS & TRNAVSKY, A CALIF. DENTAL CORPORATION
Practice address
3605 Alamo St Ste 210
Simi Valley, CA 93063-2186
Phone
(805) 583-1799
Fax
(805) 583-1790
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Marie Deweese
Title
Office Manager
Phone
(805) 583-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 44763 CA Primary

Addresses

Primary practice location

3605 Alamo St Ste 210
Simi Valley, CA 93063-2186

Mailing address

3605 Alamo St Ste 210
Simi Valley, CA 93063-2186
Phone (805) 583-1799

Other names 1

  • Southern California Endodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

3605 Alamo St
Ste 210
Simi Valley, CA 93063
Phone (805) 583-1799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1699935643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 ALAMO ST STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632186",
            "telephone_number": "805-583-1799",
            "fax_number": "805-583-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ALAMO ST STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632186",
            "telephone_number": "805-583-1799",
            "fax_number": "805-583-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKRAS & TRNAVSKY, A CALIF. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DEWEESE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-583-1799"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "44763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Endodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.