Organization Active NPI

M. Cobin Inc., J Bollinger DDS. Inc. R. Stoops Conejo-Simi Endodontics

Doing business as Conejo Simi Endodontics

  • Endodontics
  • Westlake Village, CA
National Provider Identifier
1861590572
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27239 Issued in CA
Legal business name
M. COBIN INC., J BOLLINGER DDS. INC. R. STOOPS CONEJO-SIMI ENDODONTICS
Doing business as
Conejo Simi Endodontics
Practice address
176 Auburn CT
Suite 6
Westlake Village, CA 91362-3614
Phone
(805) 495-4601
Fax
(805) 495-0861
NPI assigned
Sep 20, 2006
Last updated
Sep 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Dr. Ryan Curtis Stoops, DDSNPI 1407193659
Title
Owner Partner
Phone
(805) 495-4601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 25691 CA
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 27239 CA Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 46693 CA

Addresses

Primary practice location

176 Auburn CT
Suite 6
Westlake Village, CA 91362-3614

Mailing address

176 Auburn CT
Suite 6
Westlake Village, CA 91362-3614
Phone (805) 495-4601

Other names 1

  • Conejo Simi Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

176 Auburn Ct
Ste 6
Westlake Village, CA 91362
Phone (805) 495-4601

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1861590572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT",
            "address_2": "SUITE 6",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623614",
            "telephone_number": "805-495-4601",
            "fax_number": "805-495-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT",
            "address_2": "SUITE 6",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623614",
            "telephone_number": "805-495-4601",
            "fax_number": "805-495-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. COBIN INC., J BOLLINGER DDS. INC. R. STOOPS CONEJO-SIMI ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "STOOPS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "805-495-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "25691",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "27239",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "46693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conejo Simi Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2016; 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.