Individual provider Active NPI

Rachel Brinkley Pullin, DDS

  • Dentist
  • Danville, VA
National Provider Identifier
1619358082
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414882 Issued in VA
Practice address
4035 Riverside Dr
Danville, VA 24541-5152
Phone
(434) 793-2045
Fax
(434) 793-8820
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414882 VA Primary

Addresses

Primary practice location

4035 Riverside Dr
Danville, VA 24541-5152

Mailing address

112 Canterbury Rd
Danville, VA 24541-2624

Other names 1

  • Rachel Anne Brinkley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 15, 2015 through Dec 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414882VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel B Pullin, DDS, PC CurrentSince Jul 25, 2021 Accepting new patients
Riverview Dental Care, P.C. Past Accepting new patients

Locations

4035 Riverside Dr
Danville, VA 24541
Phone (434) 793-2045

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1619358082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CANTERBURY RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 RIVERSIDE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415152",
            "telephone_number": "434-793-2045",
            "fax_number": "434-793-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIN",
        "first_name": "RACHEL",
        "middle_name": "BRINKLEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BRINKLEY",
            "middle_name": "ANNE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.