Kyle T Pullen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017202 Issued in MI

Practice address

1211 Brooklyn Ave
Ann Arbor, MI 48104-4310

Phone

(734) 761-2629

Fax

(734) 761-3938

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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 MI

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

Practice roles

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.

• Thomas D Pullen DDS PC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1558336529
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669597431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 BROOKLYN AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044310",
            "telephone_number": "734-761-2629",
            "fax_number": "734-761-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 BROOKLYN AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044310",
            "telephone_number": "734-761-2629",
            "fax_number": "734-761-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "KYLE",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Balappa Pugashetti, MD
• Jennifer Marie Pugh, DNP AGACNP-BC
• Joseph Rasper Pugh II, RPH
• Michael P. Puglia, MD
• Paulo Pulido, MS, LAT, ATC, CPT
• Kayla Pulley
• Shaylah Pulley
• Tom Pulley
• Satchana Pumprueg, M.D.
• Jeffrey D Punch, MD

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• 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.