Individual provider Active NPI

Richard William Kulis, BS DDS MS ORTHODONTI

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sterling Heights, MI
National Provider Identifier
1851443709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901009848 Issued in MI
Practice address
8130 Constitution Ave
Sterling Heights, MI 48313-3818
Phone
(586) 939-2520
Fax
(586) 939-2522
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901009848 MI Primary

Addresses

Primary practice location

8130 Constitution Ave
Sterling Heights, MI 48313-3818

Mailing address

8130 Constitution Ave
Richad W Kulis DDS Ms PC Orthodontist
Sterling Heights, MI 48313-3818
Phone (586) 939-2520

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)
Enrolled
Credentials
Bachelor of Science, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851443709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 CONSTITUTION AVE",
            "address_2": "RICHAD W KULIS DDS MS PC ORTHODONTIST",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133818",
            "telephone_number": "586-939-2520",
            "fax_number": "586-939-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 CONSTITUTION AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133818",
            "telephone_number": "586-939-2520",
            "fax_number": "586-939-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIS",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "BS DDS MS ORTHODONTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901009848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

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.

Verify at the official NPI Registry.