Active NPI
Paul D. Bussman, D.M.D.
- General Practice Dentistry
- Cullman, AL
National Provider Identifier
1558466565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3831
- Practice address
- 1625 Main Ave SW
Cullman, AL 35055-5230 - Phone
- (256) 734-1700
- Fax
- (256) 739-1984
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3831 | AL | Primary |
Addresses
Primary practice location
1625 Main Ave SW
Cullman, AL 35055-5230
Mailing address
135 County Road 278
Cullman, AL 35057-4887
Phone (256) 736-6048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616002546 | AL | Order and Referring Only - Other (Non-Physician) | 4981995222 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D. Bussman, D.M.D. P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Cullman, AL
- NPI 1548505373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558466565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 COUNTY ROAD 278",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350574887",
"telephone_number": "256-736-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MAIN AVE SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555230",
"telephone_number": "256-734-1700",
"fax_number": "256-739-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSMAN",
"first_name": "PAUL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "3831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
- Jennifer Parker Burnham, MS,CCC-A
- Nathaniel David Burnham, DO
- Stevie Leigh Burrows, RN, MSN
- Rebecca Elizabeth Burton, PHARMD
- Sarah Burtram, SLP
- Wanda L Butler, LPN
- Kaitlin Jane Byerly, DMD
- Bruce Bynum, PHARMACIST
- Elizabeth B Bynum, ALC
- C & L Drug Company of Cullman Inc (Hospital Discount Pharmacy Central)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.