R.S. Puhn, D.D.S., P.L.L.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

603194747 Issued in WA

Legal business name

R.S. PUHN, D.D.S., P.L.L.C.

Practice address

19301 8TH Ave NE
Suite a
Poulsbo, WA 98370-6200

Phone

(360) 779-9090

Fax

(360) 779-9106

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Randal Scott Puhn, DDSNPI 1184983660

Title

Dentist

Phone

(360) 779-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randal Scott Puhn, DDS

  • General Practice Dentistry
  • Poulsbo, WA
  • NPI 1184983660
  NPD (past) Authorized official
• Jeromy A Peterson, DDS PS

  • General Practice Dentistry
  • Poulsbo, WA
  • NPI 1093817686
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1639438732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.S. PUHN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PUHN",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-779-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "603194747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal Scott Puhn, DDS
• Kim Kevin Pulver, DDS
• Quantum Leap Physical Therapy
• Amanda Qvigstad
• R Scott Puhn DDS PS
• Benjamin Michael Radack, D.P.T.
• Scott Radetski, LMHCA, M-DIV
• Jamie P Radner, LIC. AC.
• Rachel Ramey
• Robert E Randolph, M.D.

• Customized Equipment (DME) in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.