John William Bull, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00000167 Issued in CO

Practice address

2226 Dogwood CT
Grand Junction, CO 81506-8402

Phone

(970) 242-3362

Fax

(970) 256-9467

NPI assigned

Oct 27, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• John W Bull DDS

  • Dentist
  • Grand Junction, CO
  • NPI 1225403991
  NPD (past) Authorized official
• John W Bull DDS

  • Dentist
  • Fruita, CO
  • NPI 1801251616
  NPD (past) Authorized official

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1720078058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 DOGWOOD CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068402",
            "telephone_number": "970-243-2855",
            "fax_number": "970-256-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 DOGWOOD CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068402",
            "telephone_number": "970-242-3362",
            "fax_number": "970-256-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212101",
            "country_code": "US",
            "telephone_number": "970-243-2855",
            "fax_number": "970-256-9467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815062811",
            "country_code": "US",
            "telephone_number": "970-243-2855",
            "fax_number": "970-256-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULL",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "0167",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00000167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13720112",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28800079",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02001675",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Louise Bucher, LMT, CMT
• Kevin Buckelew
• Heather Suzanne Buddle
• Elizabeth A Buisker, DO
• Andree Buisson, AU.D.
• Megan Bull, LCSW
• Anthony B Bullard, MD
• Heather Bullis
• Carri Bullock, LMT
• Evan R. Bumgarner, DC

• All providers in Grand Junction, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.