Randal Scott Puhn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

603194747 Issued in WA

Practice address

19301 8TH Ave NE
Suite a
Poulsbo, WA 98370-6200

Phone

(360) 779-9090

Fax

(360) 779-9303

NPI assigned

May 3, 2012

Last updated

Jun 4, 2013By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R Scott Puhn DDS PS

  • General Practice Dentistry
  • Poulsbo, WA
  • NPI 1376613000
  Authorized official Same address or phone
• R.S. Puhn, D.D.S., P.L.L.C.

  • Customized Equipment (DME)
  • Poulsbo, WA
  • NPI 1639438732
  NPD (past) Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1184983660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHN",
        "first_name": "RANDAL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "603194747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wandee Johnson Pryor, PSY.D.
• Youngoak Kim Pryor, ARNP
• PT Works
• Puget Sound Kidney Centers (Puget Sound Kidney Center-Poulsbo)
• Puget Sound Rheumatology PLLC
• Kim Kevin Pulver, DDS
• Quantum Leap Physical Therapy
• Amanda Qvigstad
• R Scott Puhn DDS PS
• R.S. Puhn, D.D.S., P.L.L.C.

• General Practice Dentistry in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.