Individual provider Active NPI

David Allen Pulsipher, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
National Provider Identifier
1750367751
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
41667 Issued in CA
Practice address
39755 Murrieta Hot Springs Rd
B130
Murrieta, CA 92563-9101
Phone
(951) 600-7457
Fax
(951) 600-2931
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A67982 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 41667 CA Primary

Addresses

Primary practice location

39755 Murrieta Hot Springs Rd
B130
Murrieta, CA 92563-9101

Mailing address

39755 Murrieta Hot Springs Rd
B130
Murrieta, CA 92563-9101
Phone (951) 600-7457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67982CAMDSpecialist
67982CAMDPharmacist
41667CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Oral and Facial Surgery Inc a Dental Practice of D Allen Pulsip Oral and Maxillofacial Surgery PastSince Apr 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dpulsipher182088@direct.llu.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1750367751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD",
            "address_2": "B130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639101",
            "telephone_number": "951-600-7457",
            "fax_number": "951-600-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD",
            "address_2": "B130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639101",
            "telephone_number": "951-600-7457",
            "fax_number": "951-600-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSIPHER",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67982",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "41667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.