Active NPI
Pacific Orthodontics, LLC
Doing business as Pacific Orthodontic Group
- Orthodontics and Dentofacial Orthopedics Dentistry
- Santa Monica, CA
National Provider Identifier
1184179129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PACIFIC ORTHODONTICS, LLC
- Doing business as
- Pacific Orthodontic Group
- Practice address
- 2021 Santa Monica Blvd
Suite 340E
Santa Monica, CA 90404-2208 - Phone
- (310) 846-8676
- NPI assigned
- Aug 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maurice Firouz, DDS
- Title
- Dr
- Phone
- (310) 447-5790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2021 Santa Monica Blvd
Suite 340E
Santa Monica, CA 90404-2208
Mailing address
11150 Santa Monica Blvd
Suite 1400
Los Angeles, CA 90025-3380
Phone (310) 846-8676
Other names 1
- Pacific Orthodontic Group
National Provider Directory
National Provider DirectoryLocations
11150 Santa Monica Blvd
Ste 1400
Los Angeles, CA 90025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471564800000",
"number": "1184179129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 SANTA MONICA BLVD",
"address_2": "SUITE 1400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253380",
"telephone_number": "310-846-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SANTA MONICA BLVD",
"address_2": "SUITE 340E",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042208",
"telephone_number": "310-846-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC ORTHODONTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A",
"authorized_official_last_name": "FIROUZ",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "310-447-5790",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Orthodontic Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
- Pacific Integrative Medical Center, Inc
- Pacific Integrative Medical Group Inc
- Pacific Marriage & Family Therapy Network, a Professional Corporation (Pacific MFT Network)
- Pacific Medical and Nephrology Associates Inc.
- Pacific Ocean Pediatrics
- Pacific Palisades Surgery Center and Medical Group Inc (Pacific Surgery Center of Santa Monica)
- Pacific Surgicenter
- Pacific View Recovery Center
- Pacific Wellcare Physical Therapy
- Pacific Wellness Group a Professional Marriage & Family Therapy Corp (Pacific Wellness Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.