Individual provider Active NPI

Nicole Alicia Karr, DMD

  • Endodontics
  • Brea, CA
National Provider Identifier
1295991263
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D9116 Issued in OR
Practice address
1770 E Lambert Rd
Suite 230
Brea, CA 92821-8005
Phone
(714) 529-9029
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D9116 OR Primary

Addresses

Primary practice location

1770 E Lambert Rd
Suite 230
Brea, CA 92821-8005

Mailing address

1770 E Lambert Rd
Suite 230
Brea, CA 92821-8005
Phone (714) 529-9029

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160201001884 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163726803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9116ORMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid V. Pullen, D.D.S., P.C. Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1295991263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "SUITE 230",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928218005",
            "telephone_number": "714-529-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "SUITE 230",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928218005",
            "telephone_number": "714-529-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARR",
        "first_name": "NICOLE",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D9116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.