John Parr Pruett, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30580 Issued in CA

Practice address

384 Hartnell Ave
Suite B
Redding, CA 96002-1884

Phone

(530) 223-3400

Fax

(530) 223-9035

NPI assigned

Mar 22, 2007

Last updated

Aug 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nathan J Hinckley DDS a Professional Dental Corporation

  • Endodontics
  • Redding, CA
  • NPI 1861980419
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1760508436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-223-3400",
            "fax_number": "530-223-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-223-3400",
            "fax_number": "530-223-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "JOHN",
        "middle_name": "PARR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "30580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Health Aid Centers Dba-Listen Hear (Listen Hear)
• Professional Hearing Aid Center
• Project Restoration
• Promila Dhanuka, M.D., Inc.
• Prorehab Physical Therapy and Sports Performance, Inc
• Payson Puckett
• Cedric Leon Pugh
• David Russell Pugh, DDS
• Rachel Puleo-Chankin
• Pulmedica Inc

• Endodontics in Redding, CA
• Providers in Redding, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.