Brooke Helaine Buller, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.023723 Issued in OH

Practice address

255 Lincoln Cir Ste B
Gahanna, OH 43230-3514

Phone

(614) 475-1874

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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

State licenses

Practice roles

Locations

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.

• Brooke H. Buller, DDS, LLC

  • Dental Clinic/Center
  • Gahanna, OH
  • NPI 1770114159
  NPD Authorized official
• Northstar Family Dental

  • Dental Clinic/Center
  • Westerville, OH
  • NPI 1376863589
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1376806984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827044",
            "telephone_number": "614-891-4242",
            "fax_number": "614-891-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LINCOLN CIR STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303514",
            "telephone_number": "614-475-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "BROOKE",
        "middle_name": "HELAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora J Brown, MD
• Michael Brown, PA-C
• Yuliya Bruyako
• Walter Charles Buchsieb II, DDS
• Buckeye Physical Medicine and Rehab - Gahanna
• Helen L Bullock
• Heidi A Bunch, D.D.S
• Sarah Elizabeth Burns, MD
• Brittney Anne Burnworth, APRN FNP
• Julia Christine Burrs, COTA

• Dentist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.