Individual provider Active NPI

Bryan Richard Foulk, DMD

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1568454726
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3154 Issued in AZ
Practice address
7229 N Thornydale Rd
Tucson, AZ 85741-2097
Phone
(520) 744-3480
Fax
(520) 744-3473
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3154 AZ Primary

Addresses

Primary practice location

7229 N Thornydale Rd
Tucson, AZ 85741-2097

Mailing address

7229 N Thornydale Rd
Tucson, AZ 85741-2086
Phone (520) 744-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160226001166 AZ Order and Referring Only - DentistPractitioner - Dentist 2961707005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3154AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foulk-Manela, PC General Practice Past Accepting new patients
Foothills Family Dentistry LLC General Practice PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568454726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 N THORNYDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412086",
            "telephone_number": "520-744-3480",
            "fax_number": "520-744-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 N THORNYDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412097",
            "telephone_number": "520-744-3480",
            "fax_number": "520-744-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULK",
        "first_name": "BRYAN",
        "middle_name": "RICHARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.