Harold J Gulbransen, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

29287 Issued in CA

Practice address

8860 Center Dr
Suite #460
La Mesa, CA 91942-3068

Phone

(619) 463-3773

Fax

(619) 463-1272

NPI assigned

Aug 30, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Scott a Recksiedler DMD a Dental Corporation

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1144711979
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1215047469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE #460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-463-3773",
            "fax_number": "619-463-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE #460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-463-3773",
            "fax_number": "619-463-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULBRANSEN",
        "first_name": "HAROLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "29287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B29287-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grossmont Union High School District
• Monique Grover, PPS
• Klarece Lynn Grudzinski, MA
• GS Matosian Dental Corp
• Grace Alcantara Guerrero, PT
• Lisa Gunderson, PHD, LP
• Gregory Allen O Gunn, PA-C
• Shota Gurchumelidze, M.D.
• Gurvijay Singh, M.D., Inc
• Cody L Gustaveson, PHD

• Prosthodontics in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.