NPIMap

Organization Active NPI

Jonathan Bullen DDS

  • General Practice Dentistry
  • Greencastle, IN
National Provider Identifier
1184004970
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009005 Issued in IN
Legal business name
JONATHAN BULLEN DDS
Practice address
403 N Indiana St
Greencastle, IN 46135-1020
Phone
(765) 653-9300
Fax
(765) 653-6704
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Jonathan Hugh BullenNPI 1457472755
Title
DDS
Phone
(765) 653-9300

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009005 IN Primary

Addresses

Primary practice location

403 N Indiana St
Greencastle, IN 46135-1020

Mailing address

403 N Indiana St
Greencastle, IN 46135-1020
Phone (765) 653-9300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1184004970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N INDIANA ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351020",
            "telephone_number": "765-653-9300",
            "fax_number": "765-653-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N INDIANA ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351020",
            "telephone_number": "765-653-9300",
            "fax_number": "765-653-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BULLEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "BULLEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "765-653-9300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.