Brisbain Rigor Pucan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

40709 Issued in CA

Practice address

2143 Springs Rd,
#51
Vallejo, CA 94591

Phone

(707) 552-3952

Fax

(707) 552-9320

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BR Pucan II Professional Dental Corporation

  • Dental Clinic/Center
  • Hercules, CA
  • NPI 1366093460
  NPD (past) Authorized official
• Brisbain R Pucan Professional Dental Corporation

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1487749362
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1942655055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 SPRINGS RD, #51",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-552-3952",
            "fax_number": "707-552-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 SPRINGS RD,",
            "address_2": "#51",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-552-3952",
            "fax_number": "707-552-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCAN",
        "first_name": "BRISBAIN",
        "middle_name": "RIGOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Nurses 2000 Family Practice Professional Corporation
• Primecare Home Health Services LLC
• Keshia Prince
• Samantha Pronzato, DPT
• Propercare Transportation LLC
• Stephen C Puckett, O.D.
• Cristal Pulido Mejia
• Erwin J Punz, P.T.
• Vivek J Puppala, M.D.
• Tarwinder Purewal, PHARMD

• Dentist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.