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DR. KEVIN J CEBULA D.D.S.
NPI 1962464040
Dentist - Orofacial Pain in Pasadena, CA

Active since April 04, 2006Opted out of Medicare · through Jan 7, 2028
301 S FAIR OAKS AVE, STE 402, PASADENA, CA 91105(626) 658-9004(626) 658-9034 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Aug 29, 2019, Dec 23, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Kevin J Cebula D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN J CEBULA D.D.S. (NPI 1962464040) is an individual orofacial pain provider in Pasadena, California, licensed in California (64314) and active in the NPI registry since April 2006. He has opted out of Medicare through January 7, 2028.

NPPES Registry Identity

NPI1962464040
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameDR. KEVIN J CEBULACredential: D.D.S.
Location Address301 S FAIR OAKS AVE, STE 402Pasadena, CA 91105-2562
Mailing Address301 S Fair Oaks Ave, Ste 402Pasadena, CA 91105-2562 · (626) 658-9004 · Fax (626) 658-9034
Phone(626) 658-9004
Fax(626) 658-9034
Sole ProprietorYes
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 13, 20204 updates tracked since enumeration
✔ NPI 1962464040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in CA · 64314
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
301 S FAIR OAKS AVE, Pasadena, CA 91105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kevin J Cebula D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2020 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2020
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAY ANN DABLER SLP
Speech-Language Pathologist
301 S FAIR OAKS AVE, SUITE 401
PASADENA, CA 91105
Los Angeles County (626) 744-0411
PASADENA FAMILY MEDICINE INC
General Practice
301 S FAIR OAKS AVE, STE #405
PASADENA, CA 91105
Los Angeles County (626) 792-1912
ARROYO SECO MEDICAL GROUP
Internal Medicine
301 S FAIR OAKS AVE, SUITE 300
PASADENA, CA 91105
Los Angeles County (626) 795-7556
AMERICAN MEDICAL EVALUATION CENTERS INC
Internal Medicine
301 S FAIR OAKS AVE, STE 107
PASADENA, CA 91105
Los Angeles County (310) 271-5875
W. FREDERICK STEPHENS,DDS,INC
Dentist (Oral and Maxillofacial Surgery)
301 S FAIR OAKS AVE, SUITE #107
PASADENA, CA 91105
Los Angeles County (626) 440-0099
BERT K. FUNATSU D.D.S.
Dentist (General Practice)
301 S FAIR OAKS AVE, SUITE 205
PASADENA, CA 91105
Los Angeles County (626) 796-8904
MICHAEL E STEUER, MD, PC
Specialist
301 S FAIR OAKS AVE, STE 105
PASADENA, CA 91105
Los Angeles County (626) 229-9425
GIRLFRIENDS MEDICAL GROUP, INC
Obstetrics & Gynecology (Obstetrics)
301 S FAIR OAKS AVE
PASADENA, CA 91105
Los Angeles County (626) 793-5250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Cebula's NPI number?

The NPI number for Kevin Cebula is 1962464040. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Kevin Cebula located?

Kevin Cebula practices at 301 S Fair Oaks Ave Ste 402, Pasadena, CA 91105. The listed phone number is (626) 658-9004.

What is Kevin Cebula's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Kevin Cebula enrolled in Medicare?

No. Kevin Cebula has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kevin Cebula accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kevin Cebula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Cebula was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.