Bullen Orthodontics Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

D3927 Issued in AZ

Legal business name

BULLEN ORTHODONTICS INC.

Practice address

1143 Riata Valley Rd
Kingman, AZ 86409

Phone

(928) 757-8700

Fax

(928) 757-0399

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ryan N. Bullen

Title

Orthodontist

Phone

(801) 787-6883

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carl Bruce Bullen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingman, AZ
  • NPI 1295794113
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1306338066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 RIATA VALLEY RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-8700",
            "fax_number": "928-757-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 RIATA VALLEY RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-8700",
            "fax_number": "928-757-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLEN ORTHODONTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "BULLEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "801-787-6883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D3927",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D3927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marie Buchanan, PMHNP
• Brandon Buckman
• Reyna Bucknell, P.T., D.P.T.
• Yolanda Arciaga Budomo
• Joseph B Buhanan, PHARMD
• Carl Bruce Bullen, DDS
• Reed Bullen, PA-C
• Richard Bullen, OD
• William R Burge, MD
• Sandra Burger

• Dentist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.