Jason T Bock DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JASON T BOCK DDS INC.

Practice address

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

Phone

(714) 990-4114

Fax

(714) 529-2559

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Bock, DDS, MS

Title

President

Phone

(714) 990-4114

Specialties & licenses 1

Addresses

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.

• Jason T Bock DDS Inc.

  dba Bock Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brea, CA
  • NPI 1275197634
  NPD tax ID

Locations

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": "1639733074",
    "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",
            "fax_number": "714-529-2559"
        },
        {
            "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",
            "fax_number": "714-529-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Nevada St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742895",
            "country_code": "US",
            "telephone_number": "909-307-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kedy Ying Jao, D.O.
• Ricardo Jara Castro
• Dania Jaradat, PHARMD
• David Andrew Jarvis, PH.D.
• Jason T Bock DDS Inc. (Bock Orthodontics)
• Jade-Ming Jeng, MD
• David Franklin Jesse, M.D.
• JH Chun Dental Group Corporation
• Ellen Ji, DO
• Stefanie Jimenez

• Dental Clinic/Center in Brea, CA
• Providers in Brea, CA by specialty
• Dental Clinic/Center in California

• 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.