Brisbain R Pucan Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRISBAIN R PUCAN PROFESSIONAL DENTAL CORPORATION

Practice address

2143 Springs Rd
#51
Vallejo, CA 94591-5566

Phone

(707) 552-3952

Fax

(707) 552-9320

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brisbain Rigor Pucan, D.M.DNPI 1942655055

Title

Dentist

Phone

(707) 552-3952

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brisbain Rigor Pucan, DMD

  • Dentist
  • Vallejo, CA
  • NPI 1942655055
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1487749362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 SPRINGS RD",
            "address_2": "#51",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915566",
            "telephone_number": "707-552-3952",
            "fax_number": "707-552-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 SPRINGS RD",
            "address_2": "#51",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915566",
            "telephone_number": "707-552-3952",
            "fax_number": "707-552-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISBAIN R PUCAN PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PUCAN",
        "authorized_official_first_name": "BRISBAIN",
        "authorized_official_middle_name": "RIGOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-552-3952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Edith Beaumont Brennessel, PHYSICIAN ASSISTANT
• Kristin Bria
• Janice Lee Bridges, NP CNM
• E. N. Brigino-Buenaventura, MD
• Robert Brillantes
• John W Bristow, DDS
• Jean Broadnax, LCSW
• Kirk Douglas Brocks, LMFT
• Michael Brodsky, M.D.
• Wendy A. Brody, MD

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.