Organization Active NPI

Orange County Orofacial Pain Associates Inc

  • Orofacial Pain Dentistry
  • Pasadena, CA
National Provider Identifier
1750740080
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
ORANGE COUNTY OROFACIAL PAIN ASSOCIATES INC
Practice address
301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561
Phone
(626) 658-9004
Fax
(626) 658-9034
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Kevin J Cebula, DDS
Title
DDS
Phone
(626) 658-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561

Mailing address

301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561
Phone (626) 658-9004

Other identifiers 1

IdentifierTypeStateIssuer
1962464040OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1750740080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 402",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-658-9004",
            "fax_number": "626-658-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 402",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-658-9004",
            "fax_number": "626-658-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY OROFACIAL PAIN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "CEBULA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "626-658-9004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962464040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.