Organization Active NPI

Pacific Orthodontics, LLC

Doing business as Pacific Orthodontic Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Monica, CA
National Provider Identifier
1184179129
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Aug 19, 2016

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.