Brent D Pulley, D.M.D., LTD

Primary specialty

DentistTaxonomy code 122300000X

License

AZ2103 Issued in AZ

Practice address

1442 E Chandler Blvd Ste 110
Phoenix, AZ 85048-6265

Phone

(480) 460-1911

Fax

(480) 460-0110

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By 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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brent D. Pulley DMD, LTD

  dba Desert Foothills Dental

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1356811772
  NPD
• Dasa Dental PLLC

  dba Desert Foothills Dental

  • Dentist
  • Phoenix, AZ
  • NPI 1083356034
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619073699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 E CAROLINE LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843532",
            "telephone_number": "480-839-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 E CHANDLER BLVD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486265",
            "telephone_number": "480-460-1911",
            "fax_number": "480-460-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "BRENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D., LTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giavanna Marie Puleo
• Matthew B Puleo, PA-C
• Phillip Mark Puleo
• Christopher Steele Pulford, DO
• Tracy Elizabeth Pullen, BCBA, LBA
• Deron Davies Pulley, FNP-C
• Pulmonary Internists LTD
• Pulmonary Testing Center of Phoenix LLC
• Pulse Point Health LLC
• Aaron Mark Pulsipher

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• 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.

Verify at the official NPI Registry.