Bruce Edward Farrell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

43003 Issued in CA

Practice address

9336 Deschutes Rd
Palo Cedro, CA 96073-9763

Phone

(530) 547-5744

Fax

(530) 547-5791

NPI assigned

Oct 4, 2006

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

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 and National Provider Directory roles.

• Palo Cedro Dental Care

  • Dentist
  • Palo Cedro, CA
  • NPI 1295233401
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1811082167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 DESCHUTES RD STE A",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960738730",
            "telephone_number": "530-547-5744",
            "fax_number": "530-547-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739763",
            "telephone_number": "530-547-5744",
            "fax_number": "530-547-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Henrique De Freitas, FNP
• Dhami Dentistry Inc.
• Gurvir Singh Dhami, DDS
• Kenneth Vu Dinh
• Dr. Robert M. Porzio DO Inc.
• William L Farrell, D.D.S.
• Evan Funk
• Thomas Gandy, MD
• Gateway Medical Services, Inc.
• Marshall Hall III, M.D.

• Dentist in Palo Cedro, CA
• Providers in Palo Cedro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.