Brent Rulon Twitchell

Primary specialty

DentistTaxonomy code 122300000X

License

5665059-9922 Issued in UT

Practice address

5547 S 4015 W
Suite 1
Taylorsville, UT 84118-4437

Phone

(801) 968-3585

Fax

(801) 968-3586

NPI assigned

May 18, 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 UT

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.

• Tullis & Twitchell DMD LLC

  • Dentist
  • Taylorsville, UT
  • NPI 1992913552
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689882250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 S 4015 W",
            "address_2": "SUITE 1",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184437",
            "telephone_number": "801-968-3585",
            "fax_number": "801-968-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 S 4015 W",
            "address_2": "SUITE 1",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184437",
            "telephone_number": "801-968-3585",
            "fax_number": "801-968-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWITCHELL",
        "first_name": "BRENT",
        "middle_name": "RULON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5665059-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Turpin
• Faryal Turtle, M.D.
• Jaylee Tutor
• Tuyets Pharmacy LLC
• Bethany Twitchell
• Jonas Jen Twu
• Kelsey Tyson
• Hope Udy
• Ulibarri Chiropractic and Rehab.
• Kate Kael Unga

• Dentist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Dentist in Utah

• 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.