Active NPI
Ronald Alan Bulard, DDS
- Dentist
- Ardmore, OK
National Provider Identifier
1851301824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4684
- Practice address
- 2401 N Commerce St
Ardmore, OK 73401-1280 - Phone
- (580) 226-0410
- Fax
- (580) 224-9124
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4684 | OK | Primary |
Addresses
Primary practice location
2401 N Commerce St
Ardmore, OK 73401-1280
Mailing address
2401 N Commerce St
Ardmore, OK 73401-1280
Phone (580) 226-0410
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046651 | Other | NY | NEW YORK LICENSE |
| 891528 | Other | OK | UNITED CONCORDIA NUMBER |
| 4684 | Other | OK | OKLAHOMA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4684 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Implant Centre' | Dentist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3277/brand/1/csg/1/fhir/r4
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.
-
- Dentist
- Ardmore, OK
- NPI 1114192945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851301824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011280",
"telephone_number": "580-226-0410",
"fax_number": "580-224-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011280",
"telephone_number": "580-226-0410",
"fax_number": "580-224-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULARD",
"first_name": "RONALD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "4684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "046651",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA NUMBER",
"identifier": "891528",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA LICENSE",
"identifier": "4684",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.