Brent D. Pulley DMD, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRENT D. PULLEY DMD, LTD

Practice address

1442 E Chandler Blvd Ste 110
Phoenix, AZ 85048-6265

Phone

(480) 460-1911

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ronald M Flores, BS

Title

Office Manager

Phone

(602) 743-3650

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Desert Foothills Dental Doing business as

Locations

Practitioners 3

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

• Brent D Pulley, D.M.D., LTD

  • Dentist
  • Phoenix, AZ
  • NPI 1619073699
  NPD
• Aditya Singh, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1427069756
  NPD (past)
• Shiv Pruthi, DMD, MPH

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1417681198
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1356811772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 E CHANDLER BLVD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486265",
            "telephone_number": "480-460-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 E CHANDLER BLVD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486265",
            "telephone_number": "480-460-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT D. PULLEY DMD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-743-3650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1619073699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE'S NPI",
            "identifier": "1922488113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Foothills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Brennan, LPC
• Jamie Allysse Brenner
• Mary Beth L Brenner, RN BSN MPA CPHCQ
• Susan Carole Brenner, LPC
• Tatyanna Brenner
• Sara Brenza, FNP-BC
• Audrey Marie Bressor, NP
• Breton Family Dental
• Brett a Dameron DDS Inc
• Brett Calabro'S Home

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.