NPIMap

Organization Active NPI

Dental Office of Michael Czubiak DDS

Doing business as Camarillo Smiles

  • General Practice Dentistry
  • Camarillo, CA
National Provider Identifier
1841724804
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36234 Issued in CA
Legal business name
DENTAL OFFICE OF MICHAEL CZUBIAK DDS
Doing business as
Camarillo Smiles
Practice address
92 Palm Dr
Camarillo, CA 93010-7964
Phone
(805) 388-5700
NPI assigned
Apr 17, 2017
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Michael J Czubiak, DDSNPI 1538153663
Title
President
Phone
(805) 388-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36234 CA Primary

Addresses

Primary practice location

92 Palm Dr
Camarillo, CA 93010-7964

Mailing address

92 Palm Dr
Camarillo, CA 93010-7964
Phone (805) 388-5700

Other names 1

  • Camarillo Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

92 Palm Dr
Camarillo, CA 93010
Phone (805) 388-5700

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1841724804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PALM DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107964",
            "telephone_number": "805-388-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PALM DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107964",
            "telephone_number": "805-388-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE OF MICHAEL CZUBIAK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "CZUBIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-388-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarillo Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.