Active NPI
Dennis Roger Cullen, D.D.S.
- Dentist
- Highland, IN
National Provider Identifier
1407945173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009324
- Practice address
- 2839 45TH Street
Highland, IN 46322 - Phone
- (219) 924-1190
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 122300000X | IN | |
| Dentist | 122300000X | 12009324 | IN | Primary |
Addresses
Primary practice location
2839 45TH Street
Highland, IN 46322
Mailing address
2839 45TH Street
Highland, IN 46322
Phone (219) 924-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009324 | IN | MD | Dentist |
| 122300000X | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1407945173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 45TH STREET",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "46322",
"telephone_number": "219-924-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2839 45TH STREET",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "46322",
"telephone_number": "219-924-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "DENNIS",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "122300000X",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.