Robert Alen McCulla, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB031326 Issued in CA

Practice address

990 Delbon Ave
Turlock, CA 95382-2019

Phone

(209) 667-7889

Fax

(209) 667-4712

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Turlock Dental Care

  • Dentist
  • Turlock, CA
  • NPI 1174942007
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184714545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-667-7889",
            "fax_number": "209-667-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-667-7889",
            "fax_number": "209-667-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLA",
        "first_name": "ROBERT",
        "middle_name": "ALEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DB031326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Alonzo Mazon, M.D.
• Daniel McCauley, MD
• Andrew Herrick McClure, MFT
• Yessenia McCombs Pena
• Haley McCormick
• Alecsondra McDonald
• Alyssa McDonald
• Christine Andre McDonald, D.C.
• Ashley McDonough
• Amanda Lee Kiana McGann

• General Practice Dentistry in Turlock, CA
• Providers in Turlock, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.