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

Last updated

Apr 10, 2018By the provider in NPPES

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, DDSNPI 1184938920

Title

Owner

Phone

(714) 529-5921

Specialties & licenses 1

Addresses

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.

• Bryce Nebeker, DDS

  • General Practice Dentistry
  • Brea, CA
  • NPI 1184938920
  Authorized official Same address or phone

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.