Organization Active NPI

Dr. Alice Skuben D.D.S.

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1003012881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40015 Issued in CA
Legal business name
DR. ALICE SKUBEN D.D.S.
Practice address
170 N Raymond Ave
Fullerton, CA 92831-4610
Phone
(714) 870-2000
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alice SkubenNPI 1699832220
Title
Dentist
Phone
(714) 870-2000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 40015 CA Primary

Addresses

Primary practice location

170 N Raymond Ave
Fullerton, CA 92831-4610

Mailing address

170 N Raymond Ave
Fullerton, CA 92831-4610
Phone (714) 870-2000

National Provider Directory

National Provider Directory

Locations

170 N Raymond Ave
Fullerton, CA 92831
Phone (714) 870-2000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003012881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N RAYMOND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314610",
            "telephone_number": "714-870-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N RAYMOND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314610",
            "telephone_number": "714-870-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALICE SKUBEN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKUBEN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-870-2000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.