Ross Jeffrey Pulver, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

102659 Issued in CA

Practice address

1115 Vine St
Paso Robles, CA 93446-2560

Phone

(805) 238-2632

NPI assigned

Jan 16, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Pulver Dental, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Paso Robles, CA
  • NPI 1003479684
  NPD (past) Authorized official

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1699013235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 EL CERRITO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014611",
            "telephone_number": "714-681-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462560",
            "telephone_number": "805-238-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 El Camino Real Ste B",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934222700",
            "country_code": "US",
            "telephone_number": "805-238-2632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULVER",
        "first_name": "ROSS",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "102659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manouchehr Pouresmail, DMD, DDS, MSC
• Eva Marie Prado
• Jennifer Anne Prins, L.C.S.W.
• Pulver Dental, P.C.
• Laura Andra Pulver, D.D.S., M.S.D.
• Kristin Jean Racoosin
• Nenad Radojevic, RN
• Fred R Raleigh, PHARM.D., BCPP
• Beverly Joy Sanson Ramos, MD
• David Allen Ramsey, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.