Individual provider Active NPI

Bryce Nebeker, DDS

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1184938920
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59545 Issued in CA
Practice address
1220 E Birch St
Suite 101
Brea, CA 92821-5155
Phone
(714) 529-5921
NPI assigned
Aug 4, 2010
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59545 CA Primary

Addresses

Primary practice location

1220 E Birch St
Suite 101
Brea, CA 92821-5155

Mailing address

1220 E Birch St
Suite 101
Brea, CA 92821-5155
Phone (714) 529-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59545CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryce D Nebeker DDS a Dental Sleep Corporation General Practice Current Accepting new patients

Locations

1220 E Birch St
Ste 101
Brea, CA 92821
Phone (714) 529-5921

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1184938920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.