Active NPI
Orange County Orofacial Pain Associates Inc
- Orofacial Pain Dentistry
- Pasadena, CA
National Provider Identifier
1750740080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962464040 | Other | CA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI 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.