Peter J Bullock, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039978 Issued in PA

Practice address

355 Edgemont Avenue
Quakertown, PA 18951

Phone

(215) 536-1717

Fax

(215) 529-9809

NPI assigned

Jun 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 4, 2015 through Nov 4, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kiesel Dental Associates, P.C.

  • Dentist
  • Quakertown, PA
  • NPI 1902971062
  NPD (past)
• Pennbrook Dentistry

  • Dental Clinic/Center
  • North Wales, PA
  • NPI 1720666845
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1114309374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 EDGEMONT AVENUE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-1717",
            "fax_number": "215-529-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 EDGEMONT AVENUE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-1717",
            "fax_number": "215-529-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Buckwalter, MD
• Jessica Buckwalter
• Zipporah Buehler
• Building Blocks Pediatric Dentistry
• Christine Fischer Buldo, PA-C
• John F. Bulman Jr., LCSW
• Angela N Burda, O.D.
• Renee Bures, MSW, ATR
• Gerrianne Burke, M.D.
• Hannah Busch

• Dentist in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.