Brandt Lindsey Cullen, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9432 Issued in OR

Practice address

574 Washington St
Ashland, OR 97520-1682

Phone

(541) 482-1991

Fax

(541) 482-1456

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700829546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "541-482-1991",
            "fax_number": "541-482-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "541-482-1991",
            "fax_number": "541-482-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Sampson Street BLDG 237",
            "address_2": "Fisher Clinic",
            "address_purpose": "LOCATION",
            "city": "Great Lakes",
            "state": "IL",
            "postal_code": "600885230",
            "country_code": "US",
            "telephone_number": "847-688-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "BRANDT",
        "middle_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6612",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisling Brigid Crowe, ND
• CRT Medical LLC
• Suzanne Cruce, OT/L
• Theodore Alexander Crum, M.D.
• CSL - Ashland, LLC
• Doreen Anne Cummins-Hasty, LPC
• Jessica Cunningham
• Kyle Curran
• Sandra M Curry, L.AC
• Megan Amy Dailey, R.N.

• General Practice Dentistry in Ashland, OR
• Providers in Ashland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.