Active NPI
Maria Bulat
- Dentist
- Madison, WI
National Provider Identifier
1477816023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 692015
- Practice address
- 14 S Midvale Blvd
Madison, WI 53705-5005 - Phone
- (608) 438-9120
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 692015 | WI | Primary |
Addresses
Primary practice location
14 S Midvale Blvd
Madison, WI 53705-5005
Mailing address
14 S Midvale Blvd
Madison, WI 53705-5005
Phone (608) 438-9120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391913907 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1477816023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 S MIDVALE BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537055005",
"telephone_number": "608-438-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S MIDVALE BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537055005",
"telephone_number": "608-438-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULAT",
"first_name": "MARIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "692015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "391913907",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.