Robert P Pulliam, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7739 Issued in TN

Practice address

4205 Hillsboro Pike
Ste. 101
Nashville, TN 37215-3381

Phone

(615) 297-8973

Fax

(615) 297-6603

NPI assigned

Sep 20, 2006

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TN

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Periodontal & Implant Associates of Middle Tennessee, PLLC

  • Periodontics
  • Nashville, TN
  • NPI 1174952642
  NPD Authorized official
• Periodontal & Implant Associates of Middle Tennessee, PLLC

  • Periodontics
  • Hendersonville, TN
  • NPI 1689213902
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1518064401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE",
            "address_2": "STE. 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153381",
            "telephone_number": "615-297-8973",
            "fax_number": "615-297-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE",
            "address_2": "STE. 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153381",
            "telephone_number": "615-297-8973",
            "fax_number": "615-297-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Galanti Pulice, PA-C
• Caroline Crow Pullen, RD
• Russell Dean Pullen, PA
• Sarah Lauture Pullen
• Gillian Pulley, ATR-P
• Pulmonary Function Lab
• Lesley Pulous, NP
• Vian Emad Pulous, MD
• Michael Pulver, LCSW
• Lynn Raju Punnoose, M.D.

• Periodontics in Nashville, TN
• Providers in Nashville, TN by specialty
• Periodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.