Stanley L Kull, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6215 Issued in OR

Practice address

555 W Adams St
Burns, OR 97720-1408

Phone

(541) 573-7778

Fax

(541) 573-1191

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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.

• Burns Dental Group LLC

  • General Practice Dentistry
  • Burns, OR
  • NPI 1053489013
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2007.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1497782650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W ADAMS ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201408",
            "telephone_number": "541-573-7778",
            "fax_number": "541-573-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W ADAMS ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201408",
            "telephone_number": "541-573-7778",
            "fax_number": "541-573-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULL",
        "first_name": "STANLEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mboni Jumaa Kangame
• Jennifer Rebecca Keady, OD
• Franki Elise Kesling, QMHA
• Kevin S. Johnson, D.C., PC
• Robert John Krauel, O D
• Thaddeus Shawn Labhart, CADCII, MAQMHP
• Sarah Lynn Laiosa, DO
• Sarah Lance
• Amanda Jo Lewellen
• Valerie Dawn Long

• All providers in Burns, OR
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.