DR. GARY WAYNE GREEN (NPI# 1992748529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992748529 |
| Entity Type | Individual |
| Full Name | DR. GARY WAYNE GREEN |
| Credential | DDS |
| Practice Address |
16133 Ventura Blvd Suite 1040 Encino CA 91436-2403 |
| Practice Telephone | 8189950294 |
| Practice Fax Number | 8189957549 |
| Mailing Telephone | 8189950294 |
| Mailing Fax Number | 8189957549 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22605 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CORP ID # | 954297884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167731 | Gary Lane Green | Counselor | 1232 W Poplar St, Rogers, AR 72756-4246 | 2009-02-21 |
| 1376765222 | Gary Joel Green | Dentist | 4646 Lindell Blvd, Saint Louis, MO 63108-3702 | 2007-05-02 |
| 1770561615 | Gary Lee Green | Internal Medicine | 400 Enterprise Dr, Scarborough, ME 04074-7662 | 2006-01-01 |
| 1801896816 | Gary A Green | Podiatrist | 670 Shepard Ln, Suite 102, Farmington, UT 84025-3936 | 2005-08-01 |
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1427532761 | Gary Green | Counselor | 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328-4933 | 2018-09-22 |
| 1891055687 | Gary Blaine Green | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-5823 | 2012-05-25 |
| 1770876716 | Gary Michael Green | Emergency Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2011-05-24 |
| 1801114657 | Gary Ronald Green | Chiropractor | 2292 W Magee Rd, Suite 170, Tucson, AZ 85742-4301 | 2010-05-04 |
| 1306095393 | Gary Wayne Green | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2008-09-15 |
| Street Address |
16133 VENTURA BLVD SUITE 1040 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397301 | Steven Victor Donia | Dentist | 16133 Ventura Blvd, Ste 1045, Encino, CA 91436-2423 | 2005-06-21 |
| 1619493129 | Angie Luong | Pharmacist | 16133 Ventura Blvd, Encino, CA 91436-2403 | 2017-08-16 |
| 1932575867 | Beverly Hills Womens Center, Inc | Obstetrics & Gynecology | 16133 Ventura Blvd, Suite 415, Encino, CA 91436-2403 | 2015-08-14 |
| 1104201292 | Hematology Oncology Medical Group | Internal Medicine | 16133 Ventura Blvd, Suite 470, Encino, CA 91436-2403 | 2015-07-30 |
| 1043603871 | Ian Russ | Marriage & Family Therapist | 16133 Ventura Blvd, Suite 1235, Encino, CA 91436-2403 | 2015-03-18 |
| 1588005474 | Faraaz Ali Osmani | Internal Medicine | 16133 Ventura Blvd, Ste 360, Encino, CA 91436-2426 | 2013-07-09 |
| 1073959987 | Joseph Ceniti | Psychologist | 16133 Ventura Blvd, Suite 700, Encino, CA 91436-2403 | 2013-05-18 |
| 1548500473 | Hospicegroupofsoutherncalifornia,inc. | Hospice Care, Community Based | 16133 Ventura Blvd, Encino, CA 91436-2403 | 2013-03-01 |
| 1417294554 | Eisner Psychological Associates, Inc | Psychologist | 16133 Ventura Blvd, No, 700, Encino, CA 91436-2403 | 2013-01-09 |
| 1619286101 | Julie Huynh | Internal Medicine | 16133 Ventura Blvd, Suite 470, Encino, CA 91436-2403 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063643773 | Kory Michael Zussman | Dentist | 16311 Ventura Blvd Ste 625, Encino, CA 91436-4317 | 2009-07-29 |
| 1497306070 | Shermineh Zadeh Dds Inc | Dentist | 16133 Ventura Blvd Ste 445, Encino, CA 91436-2429 | 2019-09-24 |
| 1639624463 | Kimia & Lorenz Dental Partnership | Dentist | 15720 Ventura Blvd Ste 322, Encino, CA 91436-2993 | 2016-08-22 |
| 1184970675 | Robert Leigh Sobel | Dentist | 16311 Ventura Blvd, Suite 1110, Encino, CA 91436-2124 | 2012-08-02 |
| 1427242346 | Sam Israel Naim | Dentist | 16661 Ventura Blvd, Suite 308, Encino, CA 91436-1914 | 2007-09-04 |
| 1578754172 | Steven Gary Exler | Dentist | 16311 Ventura Blvd, Suite 1005, Encino, CA 91436-2124 | 2007-08-08 |
| 1629109996 | Sam S Khorsandi | Dentist | 16542 Ventura Blvd, Suite 506, Encino, CA 91436-2005 | 2007-03-08 |
| 1740368117 | Alfred Penhaskashi | Dentist | 5363 Balboa Blvd, Ste # 226, Encino, CA 91316 | 2006-11-01 |
| 1689615130 | Marc J. Gross | Dentist | 5400 Balboa Blvd, Encino, CA 91316-1502 | 2006-06-08 |
| 1295727659 | Franklin D Niver | Dentist | 16311 Ventura Blvd, Suite 1110, Encino, CA 91436-2124 | 2005-08-21 |
| Find all providers in ENCINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.