Organization Active NPI

Richard Arthur Bullock DDS

  • Dentist
  • Rancho Mirage, CA
National Provider Identifier
1962899666
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028127 Issued in CA
Legal business name
RICHARD ARTHUR BULLOCK DDS
Practice address
72027 Desert Dr
Rancho Mirage, CA 92270-4959
Phone
(760) 340-5107
Fax
(760) 340-0315
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Richard Arthur Bullock, DDS
Title
Owner
Phone
(760) 340-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 028127 CA Primary

Addresses

Primary practice location

72027 Desert Dr
Rancho Mirage, CA 92270-4959

Mailing address

72027 Desert Dr
Rancho Mirage, CA 92270-4959
Phone (760) 340-5107

National Provider Directory

National Provider Directory

Locations

72027 Desert Dr
Rancho Mirage, CA 92270
Phone (760) 340-5107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1962899666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72027 DESERT DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704959",
            "telephone_number": "760-340-5107",
            "fax_number": "760-340-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72027 DESERT DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704959",
            "telephone_number": "760-340-5107",
            "fax_number": "760-340-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD ARTHUR BULLOCK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-340-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "028127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.