NPIMap

Organization Active NPI

Pullen, DMD, P.C.

  • Dentist
  • Huntsville, AL
National Provider Identifier
1669550042
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4401 Issued in NU
Legal business name
PULLEN, DMD, P.C.
Practice address
2353 Whitesburg Drive
Huntsville, AL 35801
Phone
(256) 533-3735
Fax
(256) 533-3780
NPI assigned
Nov 1, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mrs. Lucy Watson
Title
Office Manager
Phone
(256) 533-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4401 NU Primary

Addresses

Primary practice location

2353 Whitesburg Drive
Huntsville, AL 35801

Mailing address

2353 Whitesburg Drive
Huntsville, AL 35801
Phone (256) 533-3735

Other identifiers 3

IdentifierTypeStateIssuer
51092343OtherALBLUE CROSS
581423OtherCOMP BENEFITS
D100004OtherCIGNA DMO

National Provider Directory

National Provider Directory

Locations

2353 Whitesburg Dr SE
Huntsville, AL 35801
Phone (256) 533-3735

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1669550042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 WHITESBURG DRIVE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-533-3735",
            "fax_number": "256-533-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 WHITESBURG DRIVE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-533-3735",
            "fax_number": "256-533-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLEN, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-533-3735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": "4401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51092343",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP BENEFITS",
            "identifier": "581423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMO",
            "identifier": "D100004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.