Bryce D Nebeker DDS a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59545 Issued in CA

Legal business name

BRYCE D NEBEKER DDS A DENTAL CORPORATION

Practice address

1220 E Birch St Ste 101
Brea, CA 92821-5155

Phone

(714) 529-5921

Fax

(714) 529-9609

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bryce D Nebeker, DDS

Title

Owner

Phone

(714) 529-5921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1669979142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921",
            "fax_number": "714-529-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921",
            "fax_number": "714-529-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE D NEBEKER DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-529-5921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Broughman
• Jaime Humberto Brown Jr., PSY. D.
• Jeremy Brown, MPT
• Kiana Nicole Brown
• Clarissa L Brunt, M.A.
• Bryce D Nebeker DDS a Dental Sleep Corporation
• Brandon Jon Buehler, DPT, MPT
• Sara Buenrostro, DC
• Tiana V Bui
• Caitlyn Elizabeth Bullard

• 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 10, 2018; 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.