Cassandra Bullard, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14654 Issued in MN

Practice address

1871 Old Hudson Rd
Saint Paul, MN 55119-4308

Phone

(651) 738-0900

NPI assigned

Aug 6, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dr. Jerry Barnes

  • Dentist
  • Saint Paul, MN
  • NPI 1740402932
  NPD (past)
• Trent M. Anderson, D.D.S., P.L.L.C.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1265606248
  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1841964442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 MANVEL ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 OLD HUDSON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "651-738-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Buhrke, PH.D.
• Barrett Thomas Bukowiec, MD
• Robert Elliott Bulander Jr., M.D.
• Cydney Bulger, ANP
• Najma Jama Bulhan
• Jeremy Bulman
• Tanner Bulock
• Monica Bultena, CRNA
• Dixie Kaye Bunnell, RN
• William Bunzli, PHARMD

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.