Active NPI
Pokras & Trnavsky, a Calif. Dental Corporation
- Endodontics
- Simi Valley, CA
National Provider Identifier
1699935643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 44763
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endodontics
- Westlake Village, CA
- NPI 1942426895
-
- Endodontics
- Westlake Village, CA
- NPI 1497971337
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.