NPIMap

Organization Active NPI

Premier Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxnard, CA
National Provider Identifier
1831455815
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
36249 Issued in CA
Legal business name
PREMIER ORTHODONTIC SPECIALISTS
Practice address
2100 Solar Dr
Suite 200
Oxnard, CA 93036-2661
Phone
(805) 485-1111
Fax
(805) 981-7050
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Page Hudson, DDS
Title
President
Phone
(805) 485-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 36249 CA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 46858 CA

Addresses

Primary practice location

2100 Solar Dr
Suite 200
Oxnard, CA 93036-2661

Mailing address

2100 Solar Dr
Suite 200
Oxnard, CA 93036-2661
Phone (805) 485-1111

Other names 1

  • Premier Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Solar Dr
Ste 200
Oxnard, CA 93036
Phone (805) 485-1111

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1831455815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR",
            "address_2": "SUITE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362661",
            "telephone_number": "805-485-1111",
            "fax_number": "805-981-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR",
            "address_2": "SUITE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362661",
            "telephone_number": "805-485-1111",
            "fax_number": "805-981-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "PAGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-485-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "36249",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.