Pema Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEMA DENTAL CORP

Practice address

782 N Brea Blvd
Brea, CA 92821

Phone

(714) 257-0330

Fax

(714) 257-0550

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nilesh D Pema, DDS

Title

Owner

Phone

(714) 257-0330

Specialties & licenses 1

Addresses

Other names 1

• brea dentistry Doing business as

Tax ID family

Brea Dentistry2 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.

• Pema Dental Corp

  • Dental Clinic/Center
  • Brea, CA
  • NPI 1427380005
  NPD tax ID

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1316110059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 N BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-257-0330",
            "fax_number": "714-257-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 N BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-257-0330",
            "fax_number": "714-257-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PEMA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-257-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brea dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Pearson, RADT
• Ped Negotium Inc.
• Kayla Pedersen, RBT
• Laura Margaret Pei, DMD
• Ashley Gizel G Pekson
• Pema Dental Corp
• Brandon S. Pendergraft, MS
• Kristine Sue Percy, M.D.,
• Cynthia Crystal Perez Urbano
• Karla Elizabeth Perez-Pussman, PH.D.

• General Practice Dentistry in Brea, CA
• Providers in Brea, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.