NPIMap

Organization Active NPI

Pema Dental Corp

Doing business as brea dentistry

  • Dental Clinic/Center
  • Brea, CA
National Provider Identifier
1427380005
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48536 Issued in CA
Legal business name
PEMA DENTAL CORP
Doing business as
brea dentistry
Practice address
782 North Brea Boulevard
Brea, CA 92821-3334
Phone
(714) 257-0330
Fax
(714) 257-0550
NPI assigned
Feb 5, 2010
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Nilesh Pema, D.D.S
Title
Owner
Phone
(714) 257-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48536 CA Primary

Addresses

Primary practice location

782 North Brea Boulevard
Brea, CA 92821-3334

Mailing address

782 N Brea Blvd
Brea, CA 92821-3334
Phone (714) 257-0330

Other names 1

  • brea dentistry Doing business as

National Provider Directory

National Provider Directory
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.

Locations

782 N Brea Blvd
Brea, CA 92821
Phone (714) 257-0330

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1427380005",
    "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": "928213334",
            "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 NORTH BREA BOULEVARD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213334",
            "telephone_number": "714-257-0330",
            "fax_number": "714-257-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PEMA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-257-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brea dentistry",
            "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 Feb 5, 2010; 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.