BRADLEY A. ELI DENTAL CORPORATION
NPI 1962533919
Dentist - Orofacial Pain in Vista, CA

Active since March 08, 2007
2095 W VISTA WAY STE 218, VISTA, CA 92083(760) 436-6365(760) 436-5123 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Oct 9, 2019 (2 updates tracked since 2019).

About Bradley A. Eli Dental Corporation NPPES

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

BRADLEY A. ELI DENTAL CORPORATION (NPI 1962533919) is a healthcare organization registered as an orofacial pain in Vista, California and active in the NPI registry since March 2007. The organization maintains 2 additional practice locations and lists Bradley Allen Eli, President, as its authorized official.

NPPES Registry Identity

NPI1962533919
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameBRADLEY A. ELI DENTAL CORPORATION
Location Address2095 W VISTA WAY STE 218Vista, CA 92083-6029
Mailing Address2095 W Vista Way Ste 218Vista, CA 92083-6029 · (760) 436-6365 · Fax (760) 436-5123
Fax(760) 436-5123
Organization SubpartNo
Authorized OfficialBradley Allen EliPresident · (760) 436-4062
Enumeration DateMarch 8, 2007
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1962533919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
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.
Also ListedOral MedicineTaxonomy 125Q00000X
2095 W VISTA WAY STE 218, Vista, CA 92083

Secondary Practice Locations 2

Location 15830 Oberlin Dr Ste 202San Diego, CA 92121-3754 · Phone (760) 436-6365 · Fax (760) 436-5123
Location 211980 San Vicente Blvd Ste 814Los Angeles, CA 90049-6606 · Phone (760) 436-6365 · Fax (760) 436-5123

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Family Medicine
2095 W VISTA WAY STE 218
VISTA, CA 92083
Dentist (Orofacial Pain)
2095 W VISTA WAY STE 218
VISTA, CA 92083
Family Medicine
2095 W VISTA WAY STE 218
VISTA, CA 92083
Dentist (Orofacial Pain)
2095 W VISTA WAY STE 218
VISTA, CA 92083

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 Bradley A. Eli Dental Corporation's NPI number?

The NPI number for Bradley A. Eli Dental Corporation is 1962533919. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Bradley A. Eli Dental Corporation located?

Bradley A. Eli Dental Corporation is located at 2095 W Vista Way Ste 218, Vista, CA 92083. The listed phone number is (760) 436-6365.

What is Bradley A. Eli Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley A. Eli Dental Corporation was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.