NPIMap

Organization Active NPI

Jason T Bock DDS Inc.

Doing business as Bock Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brea, CA
National Provider Identifier
1275197634
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JASON T BOCK DDS INC.
Doing business as
Bock Orthodontics
Practice address
255 W Central Ave Ste 102
Brea, CA 92821-3373
Phone
(714) 990-4114
NPI assigned
Apr 30, 2019
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Dr. Jason T Bock, DDS, MSNPI 1609063528
Title
President
Phone
(714) 990-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

255 W Central Ave Ste 102
Brea, CA 92821-3373

Mailing address

255 W Central Ave Ste 102
Brea, CA 92821-3373
Phone (714) 990-4114

Other names 1

  • Bock Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bock Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 W Central Ave
Ste 102
Brea, CA 92821
Phone (714) 255-7060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1275197634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W CENTRAL AVE STE 102",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213373",
            "telephone_number": "714-990-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W CENTRAL AVE STE 102",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213373",
            "telephone_number": "714-990-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T BOCK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-990-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bock Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2019; 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.