Reid Victor Pullen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

46323 Issued in CA

Practice address

1770 E Lambert Rd Ste 230
Brea, CA 92821-4372

Phone

(714) 529-9029

NPI assigned

Sep 21, 2007

Sex

Male

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

Enrolled in CA

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

Medicare enrollment (NPD)

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.

• Reid V. Pullen, D.D.S., P.C.

  • Endodontics
  • Brea, CA
  • NPI 1346786860
  NPD (past) Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1962698100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD STE 230",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214372",
            "telephone_number": "714-529-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD STE 230",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214372",
            "telephone_number": "714-529-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "REID",
        "middle_name": "VICTOR",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "46323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Transport, Inc.
• Timothy Michael Prior, M.S. LMFT, BCBA
• Providence Medical Foundation
• Joseph Prunean, OTR/L
• Daria Li Pukshansky
• Pure Wave Medical Group Inc
• Kaysha Quijote
• R. Adams Chiropractic Inc.
• Rachel Lim Dental Corporation
• Mary Bryce Rae, MFT

• Endodontics in Brea, CA
• Providers in Brea, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.