NPIMap

Organization Active NPI

Ocean Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lompoc, CA
National Provider Identifier
1558701953
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
29327 Issued in CA
Legal business name
OCEAN ORAL & MAXILLOFACIAL SURGERY
Practice address
1111 E Ocean Ave
#9
Lompoc, CA 93436-7076
Phone
(805) 735-3665
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Robert S. Kiken, DDSNPI 1982626255
Title
Managing Partner
Phone
(805) 682-0933

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 29327 CA Primary

Addresses

Primary practice location

1111 E Ocean Ave
#9
Lompoc, CA 93436-7076

Mailing address

1111 E Ocean Ave
#9
Lompoc, CA 93436-7076
Phone (805) 735-3665

National Provider Directory

National Provider Directory

Locations

1111 E Ocean Ave
Ste 9
Lompoc, CA 93436
Phone (805) 735-3665

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": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1558701953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "#9",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-735-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "#9",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-735-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "KIKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "805-682-0933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.