Gennady Orlovetsky, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GENNADY ORLOVETSKY, D.D.S., INC.

Practice address

2780 Tapo Canyon Rd
Ste. a-1B
Simi Valley, CA 93063-6840

Phone

(805) 520-1711

Fax

(805) 520-1511

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Lyudmila Preys

Title

Office Manager

Phone

(805) 520-1711

Specialties & licenses 1

Addresses

Other names 1

• Alamo Family Dentistry Doing business as

Locations

Practitioners 1

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

• Dmitry G Aminov

  • Dentist
  • Simi Valley, CA
  • NPI 1083800296
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1902204019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 TAPO CANYON RD",
            "address_2": "STE. A-1B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636840",
            "telephone_number": "805-520-1711",
            "fax_number": "805-520-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 TAPO CANYON RD",
            "address_2": "STE. A-1B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636840",
            "telephone_number": "805-520-1711",
            "fax_number": "805-520-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNADY ORLOVETSKY, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "PREYS",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-520-1711"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.