Individual provider Active NPI

Christopher Michael Bulnes, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1881713824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15541 Issued in FL
Practice address
3906 W Neptune St
Tampa, FL 33629-5829
Phone
(813) 259-9000
Fax
(813) 259-9923
NPI assigned
Mar 29, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15541 FL Primary
General Practice Dentistry 1223G0001X DN8669 FL

Addresses

Primary practice location

3906 W Neptune St
Tampa, FL 33629-5829

Mailing address

3906 W Neptune St
Tampa, FL 33629-5829
Phone (813) 259-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20151006000067 FL Order and Referring Only - DentistPractitioner - Dentist 2062720485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN8669FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Buckenheimer & Bulnes, D.M.D.'S P.a. General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881713824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295829",
            "telephone_number": "813-259-9000",
            "fax_number": "813-259-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295829",
            "telephone_number": "813-259-9000",
            "fax_number": "813-259-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULNES",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15541",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.