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DR. GARY WAYNE GREEN DDS
NPI 1992748529
Dentist - Periodontics in Encino, CA

Active since June 13, 2006PECOS Enrolled
16133 VENTURA BLVD, SUITE 1040, ENCINO, CA 91436(818) 995-0294(818) 995-7549 Get Directions Write a Review

NPPES record last updated: September 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gary Wayne Green Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY WAYNE GREEN DDS (NPI 1992748529) is an individual periodontics provider in Encino, California, licensed in California (22605) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992748529
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. GARY WAYNE GREENCredential: DDS
Location Address16133 VENTURA BLVD, SUITE 1040Encino, CA 91436-2403
Mailing Address16133 Ventura Blvd, Suite 1040Encino, CA 91436-2403 · (818) 995-0294 · Fax (818) 995-7549
Phone(818) 995-0294
Fax(818) 995-7549
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 5, 2011
✔ NPI 1992748529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 22605
Definition
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.
16133 VENTURA BLVD, Encino, CA 91436
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Other Identifiers 1

Other954297884CA · Corp Id #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Wayne Green Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI COLLIER
Nurse Practitioner (Family)
16133 VENTURA BLVD, #360
ENCINO, CA 91436
Los Angeles County (818) 986-6009
DR. ARNOLD ZOREL PARITZKY MD
Internal Medicine (Interventional Cardiology)
16133 VENTURA BLVD, SUITE 1180
ENCINO, CA 91436
Los Angeles County (818) 990-5756
DR. DARIUS GHARIB M.D.
Internal Medicine
16133 VENTURA BLVD, 350
ENCINO, CA 91436
Los Angeles County (818) 501-5201
JOEL A LEBOVITZ MD A PROFESSIONAL CORPORATION
Internal Medicine
16133 VENTURA BLVD, SUITE 400
ENCINO, CA 91436
Los Angeles County (818) 528-1025
DR. IAN RUSS LMFT
Marriage & Family Therapist
16133 VENTURA BLVD, SUITE 1235
ENCINO, CA 91436
Los Angeles County (818) 990-5740
LISA FUNG RONG CHEN MA
Counselor (Mental Health)
16133 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (213) 537-9672
HEMATOLOGY ONCOLOGY MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
16133 VENTURA BLVD, SUITE 470
ENCINO, CA 91436
Los Angeles County (818) 981-3818
ULF LANDO MD INC
Internal Medicine
16133 VENTURA BLVD, # 350
ENCINO, CA 91436
Los Angeles County (818) 986-1446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Green's NPI number?

The NPI number for Gary Green is 1992748529. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Gary Green located?

Gary Green practices at 16133 Ventura Blvd Suite 1040, Encino, CA 91436. The listed phone number is (818) 995-0294.

What is Gary Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Gary Green enrolled in Medicare?

Yes. Gary Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Green was last updated on September 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.